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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

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LAGASO, JILL MANAHAN       
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: 1120 S UTICA AVE
TULSA OK 74104

Address last updated on 4/28/2024
Phone #: (918) 579-5220
Fax #: (918) 550-7980
County: TULSA
License: 27689
Dated: 5/7/2010
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Santo Tomas, Fac Of Med And Surg, Manila, Philippines
Graduated: 4 / 2004
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.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
1120 S UTICA AVE
TULSA OK 74104

Phone #: (918) 579-5220
Fax #: (918) 550-7980
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMY MARIE CAMPBELL PA 2013
ERIN MARIE CAPPS PA 2074
NICOLE ST. AMANT COBURN PA 3176
JAYNE ELIZABETH CONTRERAS PA 2103
CINDY LEE DUNLAP PA 2075
KAYLYNN COATS ELMORE PA 1953
MINI GEORGE PA 1334
LAURA KATHRYN HOLMAN PA 2726
LARRY MARTIN HYTCHE PA 1975
KELSEY NICOLE KLEIN PA 2391
JENNIFER RENEE MEANS PA 2084
DAVID JOSEPH OLSON PA 2248
ANITA RAQUEL RAMIREZ PA 3165
LEONARDO RAUCH PA 1733
SHAYNIEL STEARS PA 2708
RICHELLE CHRISTINE VOTH PA 2427

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