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LORENZO-RIVERO, SHAUNA
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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: |
1305 W CHEROKEE ST
LINDSAY OK 73052
Address last updated on 1/12/2008 |
| Phone #: |
(405) 756-1404 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
24340 |
| Dated: |
3/28/2005 |
| Expires: |
3/1/2009 |
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Temp.
Lic.
Issued:
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2/25/2005 |
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Temp.
Lic.
Expires:
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5/5/2005 |
| License Type: |
Medical Doctor |
| Specialty: |
Colon & Rectal Surgery |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Washington Univ in St Louis Sch of Med, St Louis MO |
| Graduated: |
5 /
1999 |
| CME Year: |
2011 |
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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: |
AMERICAN BOARD OF COLON AND RECTAL SURGERY
AMERICAN BOARD OF SURGERY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
First Health
HealthChoice
Humana Medicare Advantage PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Private Healthcare Systems (PHCS)
Secure Horizons HMO
SoonerCare HMO
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS |
| Hospital Privileges: |
INTEGRIS Baptist Medical Center
Oklahoma City, OK
Lindsay Municipal Hospital
Lindsay, OK
Mercy Hospital Logan County (fmly Logan Hosp. and MC)
Guthrie, OK
Mercy Hospital OKC
Oklahoma City, OK
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| Locations: |
Hours: |
Languages: |
1305 W CHEROKEE ST
LINDSAY OK 73052
Phone #:
(405) 756-1404
Fax #:
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Mon: 8:30AM - 4:30PM
Tue: 8:30AM - 4:30PM
Wed: 8:30AM - 4:30PM
Thu: 8:30AM - 4:30PM
Fri: 8:30AM - 4:30PM
Sat:
Sun: |
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