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HAMMOND, LISA JEAN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: NUTRITION MGMT SVCS
1216 E KENOSHA PMB 265
BROKEN ARROW OK 74012

Address last updated on 10/12/2004
Phone #: (918) 357-1501
Fax #:
County: TULSA
License: 1304
Dated: 11/20/2003
Expires: 10/31/2006
License Type: Licensed Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2008
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:
NUTRITION MGMT SVCS
1216 E KENOSHA PMB 265
BROKEN ARROW OK 74012

Phone #: (918) 357-1501
Fax #:

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