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BUB, LAWRENCE DAVID       
Practice Address: DIRECT RADIOLOGY
16 SLATER ST. S.
KIRKLAND WA 98033

Address last updated on 7/25/2012
Phone #: (855) 687-7237
Fax #: (855) 673-9190
County: NOT OKLAHOMA
License: 25891
Dated: 8/1/2007
Expires: 8/1/2013
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Neuroradiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Colorado Sch Of Med (frmly in Denver)
Graduated: 12 / 1998
CME Year: 2013
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 RADIOLOGY
AMERICAN BOARD OF RADIOLOGY - Neuroradiology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
Mercy Hospital Kingfisher (fmly Kingfisher RH)
Kingfisher, OK
Locations: Hours: Languages:
DIRECT RADIOLOGY
16 SLATER ST. S.
KIRKLAND WA 98033

Phone #: (855) 687-7237
Fax #: (855) 673-9190
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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