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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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TAYLOR, LISA DANELE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 4514 W MEMORIAL CIRCLE STE B
OKLAHOMA CITY OK 73142-5003

Address last updated on 10/14/2020
Phone #: (405) 751-1321
Fax #: (405) 755-3708
County: OKLAHOMA
License: 17865
Dated: 10/5/1991
Expires: 10/1/2025
Training Issued: 7/17/1990
Training Expires: 12/31/1991
License Type: Medical Doctor
Specialty: Plastic Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1990
CME Year: 2027
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PLASTIC SURGERY
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: CIGNA PPO
OSMA Health (formerly Plico PPO)
United Healthcare Choice
Hospital Privileges: Northwest Surgical Hospital
Oklahoma City, OK
Oklahoma Surgicare
Oklahoma City, OK
Surgery Center of Oklahoma
Oklahoma City, OK
Locations: Hours: Languages:
4514 W MEMORIAL CIRCLE STE B
OKLAHOMA CITY OK 73142-5003

Phone #: (405) 751-1321
Fax #: (405) 755-3708
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri:
Sat:
Sun:

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