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Last Update: Monday, October 21, 2024 1:22 PM CDT
Next Update: Tuesday, October 22, 2024 4:30 PM CDT
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WEST, LISA DANETTE
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Practice Address: |
CLASSEN FAMILY MEDICINE
1015 S.W. 4TH STREET ST
MOORE OK 73160
Address last updated on 3/19/2024 |
Phone #: |
(405) 378-2001 |
Fax #: |
(405) 445-7660 |
County: |
CLEVELAND |
License: |
1163 |
Dated: |
4/1/2002 |
Expires: |
3/31/2025 |
Temp.
Ltr.
Issued:
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12/13/2001 |
Temp.
Ltr.
Expires:
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3/31/2002 |
License Type: |
Physician Assistant |
Specialty: |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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CME Year: |
2025 |
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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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Hospital Privileges:
None listed
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