Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Saturday, December 21, 2024 6:44 PM CST
Next Update: Sunday, December 22, 2024 2:50 AM CST

Return to Search Licensees page

LONG, LARRY LEE       
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: MERCY MEMORIAL HEALTH CENTER
ARDMORE OK 73401

Address last updated on 6/4/2012
Phone #: (580) 220-6242
Fax #: (580) 220-6175
County: CARTER
License: 8080
Dated: 6/12/1963
Expires: 6/1/2013
License Type: Medical Doctor
Specialty: Other Specialty
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1963
CME Year: 2013
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK
Locations: Hours: Languages:
MERCY MEMORIAL HEALTH CENTER
ARDMORE OK 73401

Phone #: (580) 220-6242
Fax #: (580) 220-6175

Return to Search Licensees page