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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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LAFROMBOISE, DAWN MARIE       
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: CREOKS
4103 S YALE AVE
STE B
TULSA OK 74135

Address last updated on 10/23/2024
Phone #: (918) 382-7300
Fax #: (918) 382-7302
County: TULSA
License: 23500
Dated: 12/2/2004
Expires: 12/1/2025
License Type: Medical Doctor
Specialty: Psychiatry
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of ND Sch Of Med and Hlth Sci, Grand Forks Nd 58201
Graduated: 5 / 2003
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
1/14/2010 Probation Ended
3/9/2006 Probation
Board Filings and/or Orders:
01/14/2010
03/09/2006
12/16/2005
12/16/2005
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: SoonerCare PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
CREOKS
4103 S YALE AVE
STE B
TULSA OK 74135

Phone #: (918) 382-7300
Fax #: (918) 382-7302
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri:
Sat:
Sun:
4845 S Sheridan
Ste 505
tulsa, OK 74145

Phone #: (918) 504-9993
Fax #: (8) 201-
Mon:
Tue:
Wed:
Thu:
Fri: 9:00AM - 4:00PM Gene's Progeny PLLC
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
HUONG DOAN APRN 101560
LAURIE FERRER APRN 134145
KAMA HAGEBUSCH APRN 102797

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