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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, April 28, 2024 4:03 AM CDT
Next Update: Sunday, April 28, 2024 12:00 PM CDT

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LEWALLEN, TAYLOR MORGAN
Practice Address: 3731 LEGACY
WEATHERFORD OK 73096

Address last updated on 2/29/2024
Phone #: (405) 697-8002
Fax #:
County: CUSTER
License: 4878
Dated: 12/12/2022
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:
3731 LEGACY
WEATHERFORD OK 73096

Phone #: (405) 697-8002
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BLAKE ALLEN BADGETT MD 22800

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