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Oklahoma Board of Medical Licensure and Supervision

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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:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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:
ASSURED HOME HEALTH PONCA CITY
1924 LAKE ROAD
PONCA CITY OK 74601

Phone #: (580) 304-6672
Fax #: (580) 765-8155
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
NATHAN DAVID KOCH TA 2131

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