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LOCKETT-EVANS, ANYA DONNA       
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: 9021 GOLDEN SUNSET LANE
SPRINGFIELD VA 22153-2455
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 17872
Dated: 10/5/1991
Expires: 10/1/1997
License Type: Medical Doctor
Specialty: General Practice
Family Medicine
Status: Inactive
Status Class: Special License
Restricted to:
Registered to Dispense: NO
Medical School: Boston Univ Sch Of Med, Boston Ma 02118
Graduated: 5 / 1982
CME Year:
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
9021 GOLDEN SUNSET LANE
SPRINGFIELD VA 22153-2455

Phone #:
Fax #:

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