HEINLEN, LATISHA DAWN - Licensee Information

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Last Update: Friday, April 26, 2024 7:06 PM CDT
Next Update: Saturday, April 27, 2024 2:50 AM CDT

HEINLEN, LATISHA DAWN

Practice Address:	6516 N. OLIE AVE. SUITE G OKLAHOMA CITY OK 73116-7399 Address last updated on 6/20/2023
Phone #:	(405) 608-8060
Fax #:	(405) 608-8070
County:	OKLAHOMA
License:	26317
Dated:	7/16/2009
Expires:	7/1/2024
License Type:	Medical Doctor
Specialty:	Rheumatology 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:	5 / 2008
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 AMERICAN BOARD OF INTERNAL MEDICINE - Rheumatology
New Patients:	Yes
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	INTEGRIS Baptist Medical Center Oklahoma City, OK

Locations:	Hours:	Languages:
6516 N. OLIE AVE. SUITE G OKLAHOMA CITY OK 73116-7399 Phone #: (405) 608-8060 Fax #: (405) 608-8070	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
4409 N Kickapoo Suite 129 Shawnee, OK 74804 Phone #: (405) 608-8060 Fax #: (12) 202-	Mon: 8:00AM - 5:00PM Tue: Wed: Thu: 8:00AM - 5:00PM Fri: 8:00AM - 12:00PM Sat: Sun:
10001 S Western Ave Suite 202 Oklahoma City, OK 73139 Phone #: (405) 608-8060 Fax #: (1) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
4400 Grant Boulevard Suite 103 Yukon, OK 73099 Phone #: (405) 608-8060 Fax #: (5) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
AMANDA OBLANDER	APRN	93802
LACEY ROACH	APRN	123091
AMY CHRISTINE WALKER	PA	1419