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Last Update: Thursday, May 2, 2024 5:08 PM CDT
Next Update: Friday, May 3, 2024 2:50 AM CDT
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SPRAGUE, LISA LYNN |
Practice Address: |
ASSURED HOME HEALTH PONCA CITY
1924 LAKE ROAD
PONCA CITY OK 74601
Address last updated on 12/16/2023 |
Phone #: |
(580) 304-6672 |
Fax #: |
(580) 765-8155 |
County: |
KAY |
License: |
2596 |
Dated: |
12/5/1996 |
Expires: |
1/31/2025 |
Temp.
Ltr.
Issued:
|
8/23/1996 |
Temp.
Ltr.
Expires:
|
1/1/1997 |
License Type: |
Physical Therapist |
Specialty: |
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|
Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
|
CME Year: |
2026 |
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Primary Supervisees(s):
|
Name: |
Type: |
License Number: |
Full/Part Time: |
NATHAN DAVID KOCH
|
TA |
2131 |
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