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Oklahoma Board of Medical Licensure and Supervision

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BLOCK, LAWRENCE ALLEN       
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: 13321 NORTH MERIDIAN
SUITE 200
OKLAHOMA CITY OK 73120-9304

Address last updated on 12/23/1999
Phone #:
Fax #: (405) 755-6140
County: OKLAHOMA
License: 9801
Dated: 9/18/1972
Expires: 9/1/2004
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of KY Coll Of Med, Lexington Ky 40536
Graduated: / 1969
CME Year: 2006
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: None listed
Locations: Hours: Languages:
13321 NORTH MERIDIAN
SUITE 200
OKLAHOMA CITY OK 73120-9304

Phone #:
Fax #: (405) 755-6140

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