LANE, KATHRYN LYNN - Licensee Information

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

LANE, KATHRYN LYNN

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:	INTEGRIS HEALTH 5401 N PORTLAND AVE SUITE 600 OKLAHOMA CITY OK 73112 Address last updated on 2/9/2024
Phone #:	(405) 713-9940
Fax #:
County:	OKLAHOMA
License:	3100
Dated:	11/7/2019
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:
INTEGRIS HEALTH 5401 N PORTLAND AVE SUITE 600 OKLAHOMA CITY OK 73112 Phone #: (405) 713-9940 Fax #:

Hospital Privileges:

Community Hospital - OKC
Oklahoma City, OK
INTEGRIS Baptist Medical Center
Oklahoma City, OK

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
GERARDO MORALES MYRIN	MD	33739

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