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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, May 6, 2024 2:12 PM CDT
Next Update: Monday, May 6, 2024 4:30 PM CDT

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WALLACE, LAUREN
Practice Address: MCALESTER REGIONAL HEALTH CENTER
1 CLARK BASS BLVD. STE. 201
MCALESTER OK 74501

Address last updated on 5/3/2024
Phone #: (918) 421-6753
Fax #:
County: PITTSBURG
License: 4427
Dated: 12/17/2020
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:
MCALESTER REGIONAL HEALTH CENTER
1 CLARK BASS BLVD. STE. 201
MCALESTER OK 74501

Phone #: (918) 421-6753
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
PATRICK RUSSELL GANNON MD 20652
Gregg Podleski DO 8369

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