LISHERNESS, LUKE JOSEPH - Licensee Information

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Last Update: Sunday, November 17, 2024 1:13 PM CST
Next Update: Sunday, November 17, 2024 4:30 PM CST

LISHERNESS, LUKE JOSEPH

Practice Address:	US AIR FORCE - 72ND MEDICAL GROUP 7050 S AIR DEPOT BLVD BLDG 1094 TINKER AFB OK 73145 Address last updated on 1/3/2024
Phone #:	(405) 734-2778
Fax #:
County:	OKLAHOMA
License:	37753
Dated:	2/22/2021
Expires:	2/1/2025
Temp. Lic. Issued:	1/29/2021
Temp. Lic. Expires:	3/11/2021
License Type:	Medical Doctor
Specialty:	Family Medicine

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	LSU Sch Of Med in Shreveport, Shreveport La 71130
Graduated:	5 / 2017
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 FAMILY MEDICINE
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
US AIR FORCE - 72ND MEDICAL GROUP 7050 S AIR DEPOT BLVD BLDG 1094 TINKER AFB OK 73145 Phone #: (405) 734-2778 Fax #:	Mon: 7:00AM - 4:00PM Tue: 7:00AM - 4:00PM Wed: 7:00AM - 4:00PM Thu: 7:00AM - 4:00PM Fri: 7:00AM - 4:00PM Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
SHAMIKA MACK	APRN	85362
AARON EDWARD O'MEARA	PA	4574
LUKE ANDREW RUSSELL	PA	4619