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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 4:08 PM CDT
Next Update: Saturday, May 4, 2024 2:50 AM CDT

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THEOBALD, LARA JOSAN
Practice Address: 5911 W. MEMORIAL RD
SUITE 200
OKLAHOMA CITY OK 73142

Address last updated on 7/31/2023
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County: OKLAHOMA
License: 22010
Dated: 8/22/2001
Expires: 8/1/2024
License Type: Medical Doctor
Specialty: Internal Medicine
Medical Oncology
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: 5 / 2000
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.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Hospice and Palliative Medicine
AMERICAN BOARD OF INTERNAL MEDICINE - Medical Oncology
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
5911 W. MEMORIAL RD
SUITE 200
OKLAHOMA CITY OK 73142

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Fax #:
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