Search Results
Last Update: Sunday, June 2, 2024 4:58 AM CDT
Next Update: Sunday, June 2, 2024 12:00 PM CDT
Return to Search Licensees page
|
SISWANTO, LISA HANDAYANI
|
| Practice Address: |
8803 S 101ST E AVE SUITE 200
TULSA OK 74133
Address last updated on 5/14/2024 |
| Phone #: |
(918) 307-2273 |
| Fax #: |
|
| County: |
TULSA |
| License: |
28493 |
| Dated: |
7/1/2012 |
| Expires: |
7/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatrics |
|
| 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 /
2011 |
| CME Year: |
2027 |
|
|
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 PEDIATRICS |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hillcrest Hospital South (fmly SouthCrest)
Tulsa, OK
St. Francis Hospital
Tulsa, OK
St. Francis Hospital - SOUTH
Tulsa, OK
|
|
|
|
|
Return to Search Licensees page
