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LASTINE, CRAIG LELLAND       
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: RAYS
13737 NOEL ROAD SUITE 1600 - RAYS
DALLAS TX 75240

Address last updated on 12/7/2016
Phone #: (303) 933-8270
Fax #: (214) 712-2002
County: NOT OKLAHOMA
License: 20509
Dated: 1/2/1998
Expires: 1/1/2018
License Type: Medical Doctor
Specialty: Musculoskeletal Radiology
Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Loma Linda Univ Sch Of Med, Loma Linda CA 92350
Graduated: 6 / 1994
CME Year: 2019
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 RADIOLOGY (Diagnostic Radiology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
RAYS
13737 NOEL ROAD SUITE 1600 - RAYS
DALLAS TX 75240

Phone #: (303) 933-8270
Fax #: (214) 712-2002
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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