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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 1:44 PM CDT
Next Update: Saturday, April 27, 2024 4:30 PM CDT

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BALLARD, LYDIA RENE
Practice Address: MERCY NORMAN PORTER CLINIC
950 NORTH PORTER
NORMAN OK 73071

Address last updated on 6/14/2023
Phone #: (405) 329-0121 x316
Fax #: (405) 321-0121
County: CLEVELAND
License: 18425
Dated: 7/1/1993
Expires: 7/1/2024
Training Issued: 6/18/1992
Training Expires: 6/30/1993
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1992
CME Year: 2024
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: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
MERCY NORMAN PORTER CLINIC
950 NORTH PORTER
NORMAN OK 73071

Phone #: (405) 329-0121 x316
Fax #: (405) 321-0121
Mon: 8:00AM - 4:00PM
Tue: 8:00AM - 4:00PM
Wed: 8:00AM - 4:00PM
Thu: 8:00AM - 4:00PM
Fri: 8:00AM - 4:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
PETER WENDELIN KEUPEN PA 748
AVIS JEWEL LUCAS PA 618
EMMA NICOLE WELCH PA 4496

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