RODABAUGH, LYNDSEY ANN - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

RODABAUGH, LYNDSEY ANN

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:	STILLWATER DIABETES & ENDOCRINOLOGY 610 S WALNUT STILLWATER OK 74074 Address last updated on 2/2/2024
Phone #:	(405) 742-4936
Fax #:
County:	PAYNE
License:	4495
Dated:	11/2/2020
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:
STILLWATER DIABETES & ENDOCRINOLOGY 610 S WALNUT STILLWATER OK 74074 Phone #: (405) 742-4936 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
GILBERT EDWARD EMDE	MD	15365
WYNTER WILLIAMS KIPGEN	MD	18443

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