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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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LANE, KATHRYN LYNN
Practice Address: INTEGRIS HEALTH
5401 N PORTLAND AVE
SUITE 600
OKLAHOMA CITY OK 73112

Address last updated on 2/9/2024
Phone #: (405) 713-9940
Fax #:
County: OKLAHOMA
License: 3100
Dated: 11/7/2019
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:
INTEGRIS HEALTH
5401 N PORTLAND AVE
SUITE 600
OKLAHOMA CITY OK 73112

Phone #: (405) 713-9940
Fax #:

Hospital Privileges:

Community Hospital - OKC
Oklahoma City, OK
INTEGRIS Baptist Medical Center
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GERARDO MORALES MYRIN MD 33739

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