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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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LESSELROTH, BLAKE JUSTIN       
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: UNIV OKLAHOMA TULSA SCH COMMUNITY MED
SCHUSTERMAN CENTER
4502E 41ST ST
TULSA OK 74135

Address last updated on 9/16/2024
Phone #: (971) 303-3627
Fax #:
County: TULSA
License: 34337
Dated: 11/28/2018
Expires: 11/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Hospitalist
Unspecified
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduated: 5 / 2000
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 INTERNAL MEDICINE
AMERICAN BOARD OF PREVENTIVE MEDICINE - Clinical Informatics
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
UNIV OKLAHOMA TULSA SCH COMMUNITY MED
SCHUSTERMAN CENTER
4502E 41ST ST
TULSA OK 74135

Phone #: (971) 303-3627
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
NICOLE ST. AMANT COBURN PA 3176
CINDY LEE DUNLAP PA 2075
KAYLYNN COATS ELMORE PA 1953
MINI GEORGE PA 1334
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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