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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 5, 2024 6:58 PM CDT
Next Update: Monday, May 6, 2024 2:50 AM CDT

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GIBSON, BREEANNA DANIELA
Practice Address: LAKESIDE PHYSICIANS
11200 N PORTLAND AVE
OKLAHOMA CITY OK 73120

Address last updated on 8/26/2022
Phone #: (405) 936-1000
Fax #:
County: OKLAHOMA
License: 26365
Dated: 9/14/2009
Expires: 9/1/2024
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
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 OBSTETRICS AND GYNECOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: OU Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
LAKESIDE PHYSICIANS
11200 N PORTLAND AVE
OKLAHOMA CITY OK 73120

Phone #: (405) 936-1000
Fax #:
Mon:
Tue: 8:00AM - 4:00PM
Wed:
Thu:
Fri: 8:30AM - 2:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ELIZABETH BENNETT APRN 109477
HALEA PLUMLEE APRN 95713

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