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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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LANCIA, NICHOLAS ADAM       
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: KORPATH
3110 CHERRY PALM DR, STE 340,
TAMPA FL 33619

Address last updated on 11/19/2021
Phone #: (813) 932-0374
Fax #:
County: NOT OKLAHOMA
License: 38928
Dated: 4/4/2022
Expires: 4/1/2023
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Northeastern OH Univ Coll of Med & Pharm, Rootstown, OH
Graduated: 5 / 2006
CME Year: 2025
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 PATHOLOGY (Anatomic/Clinical)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
KORPATH
3110 CHERRY PALM DR, STE 340,
TAMPA FL 33619

Phone #: (813) 932-0374
Fax #:

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