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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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CAVANAGH, LAMONT EDWARD       
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: 1111 SOUTH ST LOUIS AVENUE
TULSA OK 74120

Address last updated on 6/20/2024
Phone #: (918) 619-4600
Fax #:
County: TULSA
License: 18457
Dated: 7/1/1993
Expires: 7/1/2025
Training Issued: 6/18/1992
Training Expires: 6/30/1993
License Type: Medical Doctor
Specialty: Sports Medicine (Family Practice)
Aerospace Medicine
Family Medicine
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: 6 / 1992
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 FAMILY MEDICINE
AMERICAN BOARD OF FAMILY MEDICINE - Sports Medicine
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CCN Managed Care
Champ VA
CIGNA HMO
CIGNA PPO
CompMed
Coventry Health Care National Network
First Health
HealthChoice
Heartland Health Plan of Oklahoma
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
SoonerCare HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
UniCare Health Plans of Oklahoma
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: Hillcrest Medical Center
Tulsa, OK
Locations: Hours: Languages:
1111 SOUTH ST LOUIS AVENUE
TULSA OK 74120

Phone #: (918) 619-4600
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BOBBY OMAR BOSSE PA 1168
MEAGAN HEATHER CALDWELL AT 432
BRYAN JAMES DUNN AT 53
JESSICA LEE LUETKEMEYER PA 1960
EMMA MARIE STRANDE AT 897

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