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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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JOHNSON, LANCE OONNOONNY       
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: OU HEALTH ER & URGENT CARE
709 N CZECH HALL RD
YUKON OK 73099

Address last updated on 2/21/2024
Phone #: (405) 494-8600
Fax #:
County: CANADIAN
License: 5024
Dated: 4/25/2023
Expires: 3/31/2025
Temp. Ltr. Issued: 3/21/2023
Temp. Ltr. Expires: 5/11/2023
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 ER & URGENT CARE
709 N CZECH HALL RD
YUKON OK 73099

Phone #: (405) 494-8600
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MICHAEL VON KALCICH MD 18986
Andrew Joseph Lovell DO 5921

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