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Next Update: Thursday, December 19, 2024 2:50 AM CST
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LACKEY, JAMES MANNING
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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: |
AXIS HEALTHCARE
23 W COMMERCIAL ST
INOLA OK 74036
Address last updated on 12/6/2023 |
Phone #: |
(918) 543-8880 |
Fax #: |
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County: |
ROGERS |
License: |
30999 |
Dated: |
1/15/2015 |
Expires: |
1/1/2025 |
License Type: |
Medical Doctor |
Specialty: |
Family Medicine |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235 |
Graduated: |
6 /
2000 |
CME Year: |
2027 |
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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 FAMILY MEDICINE |
New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
Yes |
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HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
Coventry Health Care National Network
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Multiplan PPO
SoonerCare HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare HMO |
Hospital Privileges: |
None listed |
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