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Next Update: Sunday, November 17, 2024 12:00 PM CST
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KIPPENBERGER, LISA DIANE
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| Practice Address: |
VA MEDICAL CENTER
921 NE 13TH ST
OKLAHOMA CITY OK 73104
Address last updated on 3/8/2024 |
| Phone #: |
(405) 456-1000 |
| Fax #: |
|
| County: |
OKLAHOMA |
| License: |
977 |
| Dated: |
8/30/1999 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
5/20/1999 |
|
Temp.
Ltr.
Expires:
|
9/18/1999 |
| 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.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
None listed
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Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
MUNAWAR ALI
|
MD |
24167 |
|
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