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LUCK, DAVID WAYNE       
Practice Address: 4724 SOUTH 69TH EAST AVENUE
TULSA OK 74145
Phone #:
Fax #:
County: TULSA
License: 19786
Dated: 7/11/1996
Expires: 7/1/1998
Training Issued: 7/1/1995
Training Expires: 8/1/1996
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNLISTED TENNESSEE MEDICAL SCHOOLS
Graduated: 5 / 1995
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:
4724 SOUTH 69TH EAST AVENUE
TULSA OK 74145

Phone #:
Fax #:

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