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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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LYNCH, HEATHER RENE       
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: 11521 S. WESTERN AVE SUITE B
OKLAHOMA CITY OK 73170

Address last updated on 1/26/2024
Phone #: (405) 844-1633
Fax #:
County: OKLAHOMA
License: 20559
Dated: 2/19/1998
Expires: 2/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1995
CME Year: 2025
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
11521 S. WESTERN AVE SUITE B
OKLAHOMA CITY OK 73170

Phone #: (405) 844-1633
Fax #:
Mon: 8:00AM - 7:00PM
Tue: 8:00AM - 7:00PM
Wed: 8:00AM - 7:00PM
Thu: 8:00AM - 7:00PM
Fri: 8:00AM - 7:00PM
Sat: 8:00AM - 7:00PM
Sun: 8:00AM - 7:00PM
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BAROME ENOWEYERE APRN 1364
MARYSUE FARRIS APRN 50272
LEE MAC GERMANY PA 1717
MARTIN JAMES KUBIER PA 202
KASONDRA MURRAY APRN 1495
KELLIE SMITH APRN 16046
ERIKA SOMERO APRN 6993
KATHERINE NEEL WILLIAMS PA 1793

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