ORTIZ, LISA DIANNE - Licensee Information

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Last Update: Sunday, April 28, 2024 6:57 PM CDT
Next Update: Monday, April 29, 2024 2:50 AM CDT

ORTIZ, LISA DIANNE

Practice Address:	CHOCTAW NATION-IDABEL CLINIC 902 E LINCOLN RD IDABEL OK 74745 Address last updated on 9/6/2023
Phone #:	(580) 286-2600
Fax #:
County:	MCCURTAIN
License:	25970
Dated:	10/1/2007
Expires:	10/1/2024
License Type:	Medical Doctor
Specialty:	Internal Medicine

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Wayne State Univ SOM, Detroit Mi 48201
Graduated:	5 / 2004
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
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
CHOCTAW NATION-IDABEL CLINIC 902 E LINCOLN RD IDABEL OK 74745 Phone #: (580) 286-2600 Fax #:	Mon: 8:00AM - 4:30PM Tue: 8:00AM - 4:30PM Wed: 8:00AM - 4:30PM Thu: 8:00AM - 4:30PM Fri: 8:00AM - 4:30PM Sat: Sun:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
REBEL SMITH	APRN	72185