CAVANAGH, LAMONT EDWARD - Licensee Information

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Last Update: Friday, May 3, 2024 4:08 AM CDT
Next Update: Friday, May 3, 2024 12:00 PM CDT

CAVANAGH, LAMONT EDWARD

Practice Address:	1111 SOUTH ST LOUIS AVENUE TULSA OK 74120 Address last updated on 6/21/2023
Phone #:	(918) 619-4701
Fax #:
County:	TULSA
License:	18457
Dated:	7/1/1993
Expires:	7/1/2024
Training Issued:	6/18/1992
Training Expires:	6/30/1993
License Type:	Medical Doctor
Specialty:	Sports Medicine (Family Practice) Aerospace Medicine Family Medicine

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 / 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 FAMILY MEDICINE AMERICAN BOARD OF FAMILY MEDICINE - Sports Medicine
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice Aetna HMO Aetna Managed Choice Aetna PPO Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select BlueChoice PPO BlueLincs HMO CCN Managed Care Champ VA CIGNA HMO CIGNA PPO CompMed Coventry Health Care National Network First Health HealthChoice Heartland Health Plan of Oklahoma Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Pacificare Commercial HMO PacifiCare of Oklahoma, Inc Preferred Community Choice Prime Advantage Health Plan Prudential Health Care Plan, Inc SoonerCare HMO SoonerCare PPO Tricare for Life Tricare Standard UniCare Health Plans of Oklahoma United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS
Hospital Privileges:	Hillcrest Medical Center Tulsa, OK

Locations:	Hours:	Languages:
1111 SOUTH ST LOUIS AVENUE TULSA OK 74120 Phone #: (918) 619-4701 Fax #:	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
5005 s. darlington ave. E. ste 100 tulsa, OK 74135 Phone #: (918) 619-4639 Fax #: (1) 201-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
BOBBY OMAR BOSSE	PA	1168
MEAGAN HEATHER CALDWELL	AT	432
BRYAN JAMES DUNN	AT	53
JESSICA LEE LUETKEMEYER	PA	1960
EMMA MARIE STRANDE	AT	897