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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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LUICK, LAURA RUTH       
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: 5401 N PORTLAND AVENUE #600
OKLAHOMA CITY OK 73112

Address last updated on 10/15/2024
Phone #: (405) 713-9940
Fax #: (405) 713-9941
County: OKLAHOMA
License: 30719
Dated: 7/1/2015
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of ND Sch Of Med and Hlth Sci, Grand Forks Nd 58201
Graduated: 5 / 2014
CME Year: 2027
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 ORTHOPAEDIC SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
5401 N PORTLAND AVENUE #600
OKLAHOMA CITY OK 73112

Phone #: (405) 713-9940
Fax #: (405) 713-9941
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DEVORAH ANN ARCHER-WEBB PA 1107
JENNIFER MARIE BURNS PA 2452
BEAU JAMES BURTON PA 2526
BRANDON SCOTT FUNK PA 1465
ALLYSON ANN PINKLEY PA 2184

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