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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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CUMMINGS, LANESE MICHELLE       
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: VETRANS HEALTH ADMINISTRATION
1808 COMMONS CIRCLE
YUKON OK 73099-3446

Address last updated on 1/9/2024
Phone #: (405) 578-3422
Fax #:
County: CANADIAN
License: 2671
Dated: 8/28/1997
Expires: 1/31/2025
Temp. Ltr. Issued: 5/22/1997
Temp. Ltr. Expires: 11/22/1997
License Type: Physical Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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:
VETRANS HEALTH ADMINISTRATION
1808 COMMONS CIRCLE
YUKON OK 73099-3446

Phone #: (405) 578-3422
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHELLY ANN DAVIS TA 1577
ROBERT DARIN FLORY TA 3626
TAYLOR NICOLE FOSTER TA 3573
STACEY DAWN HILER TA 2455
KRISTIE LEA HODGES TA 2016
SHIRLEY MARIE MOODY TA 510
DUSTIN SHANE SCHWARTZ TA 882
JAMIE ANASTASIA SCHWARTZ TA 871
DANYEL TANAKA TA 3402
MICHELLE MARIE WALD TA 1046

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