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Last Update: Wednesday, May 8, 2024 8:59 AM CDT
Next Update: Wednesday, May 8, 2024 12:00 PM CDT
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HANSEN, LORI ELDEAN
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| Practice Address: |
13313 N MERIDIAN
SUITE A-3
OKLAHOMA CITY OK 73120
Address last updated on 7/17/2023 |
| Phone #: |
(405) 753-9600 |
| Fax #: |
(405) 753-9601 |
| County: |
OKLAHOMA |
| License: |
13287 |
| Dated: |
7/22/1981 |
| Expires: |
7/1/2024 |
| License Type: |
Medical Doctor |
| Specialty: |
Facial Plastic Surgery
Otolaryngology |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1979 |
| CME Year: |
2024 |
|
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Pending and/or Past Disciplinary Actions:
|
| Date |
Action |
Reasons |
Remarks |
| 7/12/2012 |
Probation Ended |
|
|
| 9/20/2007 |
Probation |
|
|
| 3/9/2006 |
Surrendered License |
|
|
| 1/20/2006 |
Complaint Citation |
|
|
| 11/4/2004 |
Modification Order |
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|
| 7/18/2002 |
Probation |
|
|
| 1/18/2002 |
Suspension, License |
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|
Board Filings and/or Orders:
07/12/2012
11/03/2011
09/15/2011
07/22/2010
09/20/2007
07/19/2007
03/09/2006
03/09/2006
01/13/2006
01/13/2006
11/12/2004
07/18/2002
01/18/2002
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMER BOARD OF FACIAL PLASTIC/RECONSTRUCTIVE SURGERY - 5/09
AMERICAN BOARD OF OTOLARYNGOLOGY
AMERICAN BOARD OF OTOLARYNGOLOGY - Plastic Surgery Within the Head and Neck |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
|
| Locations: |
Hours: |
Languages: |
13313 N MERIDIAN
SUITE A-3
OKLAHOMA CITY OK 73120
Phone #:
(405) 753-9600
Fax #:
(405) 753-9601 |
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 10:00AM - 4:00PM
Fri: 10:00AM - 4:00PM
Sat:
Sun: 9:00AM - 5:00PM |
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
|
ALEXANDRA BROUSSARD
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APRN |
103887 |
|
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