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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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WALGREN, LAURA ANNE       
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 HOSPITAL OF TISHOMINGO
1000 S BYRD
TISHOMINGO OK 73460

Address last updated on 2/22/2024
Phone #: (580) 371-2327
Fax #: (580) 371-0222
County: JOHNSTON
License: 1658
Dated: 10/18/2007
Expires: 3/31/2025
Temp. Ltr. Issued: 8/30/2007
Temp. Ltr. Expires: 11/3/2007
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
MERCY HOSPITAL OF TISHOMINGO
1000 S BYRD
TISHOMINGO OK 73460

Phone #: (580) 371-2327
Fax #: (580) 371-0222

Hospital Privileges:

Mercy Health Love County
Marietta, OK
Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
Mercy Hospital El Reno (fmly Park View Hospital)
El Reno, OK
Mercy Hospital Healdton (fmly Healdton Municipal)
Healdton, OK
Mercy Hospital Kingfisher (fmly Kingfisher RH)
Kingfisher, OK
Mercy Hospital Logan County (fmly Logan Hosp. and MC)
Guthrie, OK
Mercy Hospital Tishomingo (fmly Johnston Memorial)
Tishomingo, OK
Mercy Hospital Watonga (fmly Watonga Municipal Hospital)
Watonga, OK
Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
Travis Buckner DO 6373
HAROLD NATHANIAL CLAVER DO 4746
DOUGLAS B COFFMAN DO 3251
ERIC S LEE DO 4786
ARIEL ERIK SANTOS LUFKIN MD 30231
PAUL REEL DO 3340
MEGHAN ANNE SHAYHORN MD 30188
THEODORE MATT WARE DO 3516
LINDSAY ANNE WILSON DO 5100
ALEXIA SMITH WRIGHT MD 27510
BRIAN ZIMMER DO 4826

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