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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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FORD, LORI JANINE       
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: 205 HARRIS CIRCLE
TAHLEQUAH OK 74464

Address last updated on 7/17/2023
Phone #: (918) 506-6880
Fax #:
County: CHEROKEE
License: 19431
Dated: 8/15/1995
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Gastroenterology
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of ND Sch Of Med and Hlth Sci, Grand Forks Nd 58201
Graduated: 5 / 1989
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 INTERNAL MEDICINE - Gastroenterology
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Northeastern Health System (formerly Tahlequah City Hospital)
Tahlequah, OK
Locations: Hours: Languages:
205 HARRIS CIRCLE
TAHLEQUAH OK 74464

Phone #: (918) 506-6880
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LESLIE DAVENPORT APRN 89863
JAMES JORGENSEN JR APRN 86052

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