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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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TODD, LAURIE NICOLE       
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: INTEGRIS BAPTIST MEDICAL CENTER
3300 NW EXPRESSWAY
OKLAHOMA CITY OK 73112

Address last updated on 7/24/2024
Phone #: (405) 949-3417
Fax #: (405) 552-5165
County: OKLAHOMA
License: 2016
Dated: 5/6/2011
Expires: 3/31/2025
Temp. Ltr. Issued: 4/29/2011
Temp. Ltr. Expires: 7/15/2011
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:
INTEGRIS BAPTIST MEDICAL CENTER
3300 NW EXPRESSWAY
OKLAHOMA CITY OK 73112

Phone #: (405) 949-3417
Fax #: (405) 552-5165

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRIAN SCOTT HAILEY MD 31417
STEPHEN PAUL LEE MD 14285
VANCE EDMOND MCCOLLOM MD 17658
Natosha N. Monfore DO 5600
ANDREW JUSTIN RAY MOORE MD 32304
CHAD GLENN THOMPSON MD 24966
RYAN JOSEPH TROJAN MD 28448

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