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Next Update: Saturday, December 21, 2024 12:00 PM CST
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LEWIS, JOHN DEREK
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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: |
11995 SINGLETREE LANE
SUITE 500
EDEN PRAIRIE MN 55344
Address last updated on 6/9/2015 |
| Phone #: |
(952) 595-1100 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
28390 |
| Dated: |
8/9/2011 |
| Expires: |
8/1/2016 |
| License Type: |
Medical Doctor |
| Specialty: |
Diagnostic Radiology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Chicago Med Sch at Rosalin Franklin Univ of Med & Sci, North Chicago, IL |
| Graduated: |
6 /
2005 |
| CME Year: |
2017 |
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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 RADIOLOGY (Diagnostic Radiology specific) |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
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