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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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DONALDSON, LAUREN NICOLE       
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: 2312 24TH AVE NW
NORMAN OK 73069

Address last updated on 2/8/2024
Phone #: (405) 652-0581
Fax #:
County: CLEVELAND
License: 1989
Dated: 2/15/2011
Expires: 3/31/2025
Temp. Ltr. Issued: 12/20/2010
Temp. Ltr. Expires: 4/8/2011
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:
2312 24TH AVE NW
NORMAN OK 73069

Phone #: (405) 652-0581
Fax #:

Hospital Privileges:

OU Health Medical Center
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
NAILA AZIZ MD 29057
JENNIFER ANN BAKER MD 23521
AMANDA LYNN BOGIE MD 19475
RYAN DAVID BROWN MD 22346
JARED ALLEN CORDELL MD 27936
KEVIN COULOURES DO 4830
MARK R DAMON II DO 4752
RYAN ERICKSEN DO 5072
KATHERINE LOUISE GRANT MD 24634
CECILIA CARUBELLI GUTHRIE MD 19971
DONNA SEXTON JACKSON MD 18110
HOLLY SUE KESSLER MD 24307
CURTIS LEE KNOLES MD 25019
GERARDO LOPEZ MEJIA MD 25202
JYH-I JAMES LU MD 29043
MATTHEW DAVID MALONY MD 29369
SARAH MELISSA SHELTON MD 26396
TADGY DEL STACY MD 19838
MARY ELLEN STOCKETT MD 19659
JULIA MARIE STOLTENBERG MD 27922
DIRK BART VERBRUGGHE MD 24000
CYNTHIA DAWN WEST DO 5461

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