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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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CAMPAGNA, LAUREN       
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: ALPHA TELEMEDICINE
555 BRYANT ST STE 814
PALO ALTO CA 94301

Address last updated on 3/7/2024
Phone #: (415) 663-5584
Fax #:
County: NOT OKLAHOMA
License: 4753
Dated: 11/6/2023
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:
ALPHA TELEMEDICINE
555 BRYANT ST STE 814
PALO ALTO CA 94301

Phone #: (415) 663-5584
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MARY THERESE JACOBSON MDC 38581

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