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RENIKER, LAURA NICKLES       
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: LAKE NORMAN REGIONAL MEDICAL CENTER
171 FAIRVIEW RD
MOORESVILLE NC 28117

Address last updated on 2/18/2013
Phone #: (704) 660-4390
Fax #:
County: NOT OKLAHOMA
License: 26136
Dated: 3/11/2008
Expires: 3/1/2014
License Type: Medical Doctor
Specialty: Neonatal-Perinatal Medicine
Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Eastern VA Med Sch, Norfolk, VA
Graduated: 5 / 1997
CME Year: 2014
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 PEDIATRICS
AMERICAN BOARD OF PEDIATRICS - Neonatal-Perinatal Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
LAKE NORMAN REGIONAL MEDICAL CENTER
171 FAIRVIEW RD
MOORESVILLE NC 28117

Phone #: (704) 660-4390
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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