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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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STUBBS, LENNY DWAYNE       
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: 4050 W MEMORIAL ROAD
THIRD FLOOR
OKLAHOMA CITY OK 73120

Address last updated on 5/22/2024
Phone #: (405) 608-3800
Fax #: (405) 608-3838
County: OKLAHOMA
License: 21272
Dated: 7/7/1999
Expires: 7/1/2025
Training Issued: 7/2/1998
Training Expires: 8/1/1999
License Type: Medical Doctor
Specialty: General Surgery
Vascular Surgery
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: 5 / 1998
CME Year: 2026
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 SURGERY
AMERICAN BOARD OF SURGERY - Vascular Surgery - General
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK
Oklahoma Heart Hospital - South Campus (5200 I-240 Service Rd)
Oklahoma City, OK
Locations: Hours: Languages:
4050 W MEMORIAL ROAD
THIRD FLOOR
OKLAHOMA CITY OK 73120

Phone #: (405) 608-3800
Fax #: (405) 608-3838
Mon:
Tue:
Wed:
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Sat:
Sun:
1301 W. Sixth Avenue #201
Stillwater, OK 74074

Phone #: (405) 624-6700
Fax #: (1) 200-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANDREA BALDWIN PA 4917
JERRY TODD MCLAUGHLIN PA 750
CHAD LEE NICHOLS PA 990
RACHEL JOHNSTON PECK PA 2594
BRITTNEY JOLENE ROBERTS PA 2984

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