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KOVACH, JAN P       
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: LOVELACE HEALTH PLAN
4101 INDIAN SCHOOL RD NE
ALBUQUERQUE NM 87110

Address last updated on 8/16/2013
Phone #: (505) 727-5690
Fax #:
County: NOT OKLAHOMA
License: 29989
Dated: 9/4/2013
Expires: 9/1/2014
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of NC Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduated: 5 / 1981
CME Year: 2016
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
LOVELACE HEALTH PLAN
4101 INDIAN SCHOOL RD NE
ALBUQUERQUE NM 87110

Phone #: (505) 727-5690
Fax #:

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