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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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PATOUGA, LUBOV LEONIDOVNA       
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: AMAZE HEALTH - TELEMEDICINE DENVER CO
PO BOX 329
LONGMONT CO 80502-0121

Address last updated on 10/5/2021
Phone #: (720) 577-5251
Fax #:
County: NOT OKLAHOMA
License: 4473
Dated: 9/10/2020
Expires: 10/1/2022
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2022
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:
AMAZE HEALTH - TELEMEDICINE DENVER CO
PO BOX 329
LONGMONT CO 80502-0121

Phone #: (720) 577-5251
Fax #:

Hospital Privileges:

None listed

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