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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Friday, May 3, 2024 2:50 AM CDT

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LACKEY, LAWRENCE SEVALLIA
Practice Address: 310 VISGER RD
RIVER ROUGE MI 48218-1097

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 10946
Dated: 7/27/1976
Expires: 6/30/1992
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: / 1952
CME Year:
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:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
310 VISGER RD
RIVER ROUGE MI 48218-1097

Phone #:
Fax #:

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