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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 4:03 AM CDT
Next Update: Monday, April 29, 2024 12:00 PM CDT

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BULL, LISA MASK
Practice Address: 9245 S MINGO RD
TULSA OK 74133

Address last updated on 9/12/2022
Phone #: (918) 492-8980
Fax #:
County: TULSA
License: 30038
Dated: 11/28/2018
Expires: 11/1/2024
Temp. Lic. Issued: 11/13/2018
Temp. Lic. Expires: 1/17/2019
License Type: Medical Doctor
Specialty: Dermatology
Dermatopathology
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 / 2013
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: ABPS - Dermatology
AMERICAN BOARD OF DERMATOLOGY
AMERICAN BOARD OF DERMATOLOGY - Dermatopathology
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hillcrest Hospital South
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Locations: Hours: Languages:
9245 S MINGO RD
TULSA OK 74133

Phone #: (918) 492-8980
Fax #:
Mon:
Tue: 8:00AM - 5:00PM
Wed: 1:00PM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 1:00PM - 5:00PM
Sat:
Sun:
4142 South Mingo Road
Tulsa, OK 74146

Phone #: (918) 744-2500
Fax #: (8) 201-
Mon:
Tue:
Wed: 8:00AM - 12:00PM
Thu:
Fri: 8:00AM - 12:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MATTHEW BRETT DOHLMAN PA 1311
TARA RODERICK LINVILLE PA 1108

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