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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST

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LUPOV, MICAELA       
Practice Address: OU HEALTH AND WELLNESS CLINIC
900 NE. 10TH ST.
OKLAHOMA CITY OK 73104

Address last updated on 3/18/2024
Phone #: (405) 271-9675
Fax #:
County: OKLAHOMA
License: 2497
Dated: 4/1/2015
Expires: 3/31/2025
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:
OU HEALTH AND WELLNESS CLINIC
900 NE. 10TH ST.
OKLAHOMA CITY OK 73104

Phone #: (405) 271-9675
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ROBERT CONRAD DIMSKI MD 14821
STEVEN EARL SMITH MD 19075

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