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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 4:48 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT

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LEWIS, TERRY MACK
Practice Address: 523 E. STATE ROAD
FAIRVIEW OK 73737

Address last updated on 12/23/1999
Phone #: (580) 227-3721 x165
Fax #: (580) 227-1268
County: MAJOR
License: 9017
Dated: 6/12/1968
Expires: 7/3/2006
License Type: Medical Doctor
Specialty: Urology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1968
CME Year: 2007
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 UROLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
523 E. STATE ROAD
FAIRVIEW OK 73737

Phone #: (580) 227-3721 x165
Fax #: (580) 227-1268

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