LAWSON, KRISTI NEMECEK - Licensee Information

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

LAWSON, KRISTI NEMECEK

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:	EDGEWATER MEDICAL CLINIC 6424 N PORTLAND OKLAHOMA CITY OK 73116-2012 Address last updated on 3/19/2024
Phone #:	(405) 840-9441
Fax #:
County:	OKLAHOMA
License:	895
Dated:	4/23/1998
Expires:	3/31/2025
Temp. Ltr. Issued:	8/14/1997
Temp. Ltr. Expires:	8/14/1998
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:
EDGEWATER MEDICAL CLINIC 6424 N PORTLAND OKLAHOMA CITY OK 73116-2012 Phone #: (405) 840-9441 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
BOBBY REED JACOBS	MD	17384

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