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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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MACEK, LISA DIANE       
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: WARREN CLINIC
1801 E KENOSHA ST
BROKEN ARROW OK 74012

Address last updated on 6/4/2024
Phone #: (918) 615-6941
Fax #: (918) 615-6942
County: TULSA
License: 28585
Dated: 7/1/2012
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2011
CME Year: 2027
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 PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
WARREN CLINIC
1801 E KENOSHA ST
BROKEN ARROW OK 74012

Phone #: (918) 615-6941
Fax #: (918) 615-6942
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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