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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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GREBENCHTCHIKOVA, LARISSA       
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: COMANCHE COUNTY MEMORIAL HOSPITAL
3401 W GORE BLVD
LAWTON OK 73505

Address last updated on 10/19/2022
Phone #: (928) 923-7392
Fax #:
County: COMANCHE
License: 34779
Dated: 5/22/2019
Expires: 5/1/2022
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Samara State Medical Univ, Samara, Russia
Graduated: 6 / 1992
CME Year: 2022
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 ANESTHESIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
COMANCHE COUNTY MEMORIAL HOSPITAL
3401 W GORE BLVD
LAWTON OK 73505

Phone #: (928) 923-7392
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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