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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

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LEACH, LARA VICTORIA
Practice Address: MERCY HOSPITAL
200 ACADEMY ROAD
GUTHRIE OK 73044

Address last updated on 10/3/2023
Phone #: (405) 260-4213
Fax #:
County: LOGAN
License: 1922
Dated: 11/1/2017
Expires: 10/31/2024
Temp. Ltr. Issued: 9/28/2017
Temp. Ltr. Expires: 11/2/2017
License Type: Occupational Therapy Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
MERCY HOSPITAL
200 ACADEMY ROAD
GUTHRIE OK 73044

Phone #: (405) 260-4213
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ANGELA MARIE DANEL OT 1273

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