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Oklahoma Board of Medical Licensure and Supervision

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HASSELL, LYLE DAVIS       
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: NORTH CAROLINA BAPT HOSPITAL
MEDICAL CENTER BOULEVARD
WINSTON-SALEM NC 27103

Address last updated on 5/15/2000
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 20340
Dated: 7/24/1997
Expires: 7/1/2001
Training Issued: 8/29/1996
Training Expires: 8/1/1997
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: LSU Sch Of Med in New Orleans, New Orleans La 70112
Graduated: 5 / 1996
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:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
NORTH CAROLINA BAPT HOSPITAL
MEDICAL CENTER BOULEVARD
WINSTON-SALEM NC 27103

Phone #:
Fax #:

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