BAUMGARDNER, LEWIS N - Licensee Information

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

BAUMGARDNER, LEWIS N

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 JIM THORPE REHAB OUTPATIENT 4509 INTEGRIS PARKWAY SUITE 100 EDMOND OK 73034 Address last updated on 12/2/2024
Phone #:	(405) 657-3800
Fax #:
County:	OKLAHOMA
License:	5840
Dated:	6/4/2020
Expires:	1/31/2026
Temp. Ltr. Issued:	5/29/2020
Temp. Ltr. Expires:	7/30/2020
License Type:	Physical Therapist
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2026

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 JIM THORPE REHAB OUTPATIENT 4509 INTEGRIS PARKWAY SUITE 100 EDMOND OK 73034 Phone #: (405) 657-3800 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
BROOKE CHEYENNE BRALY	TA	3559
AUDRA LOUISE GREEN	TA	2369
LESLIE HEIDI ROBERTS	TA	3050

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