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Last Update: Saturday, May 4, 2024 1:10 PM CDT
Next Update: Saturday, May 4, 2024 4:30 PM CDT
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|
LAZARO, VANESSA CASTRO |
| Practice Address: |
6195 LUSK BOULEVARD
SUITE 250
SAN DIEGO CA 92121
Address last updated on 2/16/2024 |
| Phone #: |
(858) 859-1188 |
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
4564 |
| Dated: |
4/21/2021 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
4/6/2021 |
|
Temp.
Ltr.
Expires:
|
5/13/2021 |
| 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.
|
|
Hospital Privileges:
None listed
|
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Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
SONIA BAJWA-DULAI
|
MD |
37572 |
|
|
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