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Next Update: Thursday, December 19, 2024 2:50 AM CST
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BERGER, LISA ELLEN
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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.
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| Practice Address: |
123 SOUTH 9TH
CLINTON OK 73601
Address last updated on 1/7/2016 |
| Phone #: |
(580) 323-2300 |
| Fax #: |
(58) 032-3170 |
| County: |
OKLAHOMA |
| License: |
21980 |
| Dated: |
1/7/2002 |
| Expires: |
4/18/2016 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Deceased |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ne Coll Of Med, Omaha Ne 68198 |
| Graduated: |
5 /
2000 |
| CME Year: |
2017 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
BlueChoice PPO
CIGNA PPO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice |
| Hospital Privileges: |
None listed |
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