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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, May 7, 2024 4:48 AM CDT
Next Update: Tuesday, May 7, 2024 12:00 PM CDT

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LEE, NICOLE
Practice Address: OPTUM
4101 PERIMETER CENTER DRIVE
OKLAHOMA CITY OK 73112

Address last updated on 3/24/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 2893
Dated: 5/30/2018
Expires: 3/31/2025
Temp. Ltr. Issued: 4/27/2018
Temp. Ltr. Expires: 9/13/2018
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:
OPTUM
4101 PERIMETER CENTER DRIVE
OKLAHOMA CITY OK 73112

Phone #:
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
Long Hoang DO 7897
DARRYL DERMOT ROBINSON MD 22361

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