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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, May 4, 2024 6:58 PM CDT
Next Update: Sunday, May 5, 2024 2:50 AM CDT

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LAWSON, CARISSA MICHELLE
Practice Address: REVOLUTION HEALTH AND WELLNESS
12142 SOUTH YOUKON AVE
GLENPOOL OK 74033

Address last updated on 2/12/2024
Phone #: (918) 935-3636
Fax #:
County: TULSA
License: 2568
Dated: 11/3/2015
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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:
REVOLUTION HEALTH AND WELLNESS
12142 SOUTH YOUKON AVE
GLENPOOL OK 74033

Phone #: (918) 935-3636
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRADLEY TODD ANDERSON DO 3893
CHAD EDWARDS DO 4353

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