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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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LOWE, PAUL FREDRICK       
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: LIFE PSYCHIATRIC CLINIC
609 S. KELLY AVE.
SUITE 2B
EDMOND OK 73003

Address last updated on 3/27/2024
Phone #: (405) 724-6871
Fax #: (405) 726-0423
County: OKLAHOMA
License: 1886
Dated: 4/1/2010
Expires: 3/31/2025
Temp. Ltr. Issued: 12/29/2009
Temp. Ltr. Expires: 5/21/2010
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
LIFE PSYCHIATRIC CLINIC
609 S. KELLY AVE.
SUITE 2B
EDMOND OK 73003

Phone #: (405) 724-6871
Fax #: (405) 726-0423

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RAKESH AMIN MD 37788
GERALD ARTHUR AMUNDSEN II MD 20242

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