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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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MERIDETH, LAWREN ALYCEA       
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: 2530 S COMMERCE
ARDMORE OK 73401

Address last updated on 6/28/2024
Phone #: (580) 223-5636
Fax #: (580) 226-6727
County: CARTER
License: 22464
Dated: 7/5/2002
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Psychiatry
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 / 2001
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 PSYCHIATRY AND NEUROLOGY
New Patients: No
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Traditional
CIGNA HMO
CIGNA PPO
HealthChoice
Hospital Privileges: None listed
Locations: Hours: Languages:
2530 S COMMERCE
ARDMORE OK 73401

Phone #: (580) 223-5636
Fax #: (580) 226-6727
Mon: 8:00AM - 5:00PM
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KRISTEN BOMBOY APRN 74702
JULIE RENEE' GAYANICH PA 1149
SHELBY LAURA LUCAS PA 1325
KIZZY LANAE MCCASKILL PA 1806
ANGEL DEJESUS VILCHIS PA 2799

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