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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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LANDRUM, LISA MICHELLE       
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: UNIVERSITY OF OKLAHOMA HSC
PEGGY & CHARLES STEPHENSON CANCER CENTER
800 N.E. 10TH STREET SUITE 2100
OKLAHOMA CITY OK 73104

Address last updated on 7/4/2021
Phone #: (405) 271-8707
Fax #: (405) 271-2976
County: OKLAHOMA
License: 22924
Dated: 9/15/2003
Expires: 9/1/2021
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Gynecological Oncology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2002
CME Year: 2021
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 OBSTETRICS AND GYNECOLOGY
AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY - Gynecologic Oncology
AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY - Hospice and Palliative Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
OU Health Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
UNIVERSITY OF OKLAHOMA HSC
PEGGY & CHARLES STEPHENSON CANCER CENTER
800 N.E. 10TH STREET SUITE 2100
OKLAHOMA CITY OK 73104

Phone #: (405) 271-8707
Fax #: (405) 271-2976
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
WHITNEY HUNTER APRN 93104
SHANTY VARUGHESE APRN 72132

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