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WIDNER, LAUREN RAE       
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: PEDIATRIC CRITICAL CARE MEDICINE
AVERA MCKENNAN HOSPITAL
SIOUX FALLS SD 57104

Address last updated on 8/4/2000
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 18638
Dated: 8/24/1993
Expires: 8/1/2001
License Type: Medical Doctor
Specialty: Pediatrics
Critical Care Medicine (Internal Medicine)
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Sanford Sch of Med of the Univ of SD, Vermillion, SD
Graduated: 6 / 1980
CME Year: 2003
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 PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PEDIATRIC CRITICAL CARE MEDICINE
AVERA MCKENNAN HOSPITAL
SIOUX FALLS SD 57104

Phone #:
Fax #:

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