Bethel Mulligan, Lesa Jean

Bethel Mulligan, Lesa Jean is an individual health care provider with primary practice located at 1139 36Th Ave Nw , Norman OK 73072-4103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bethel Mulligan, Lesa Jean can be contacted via phone (405) 364-0643.

Contact Information

Primary practice address
1139 36Th Ave Nw Norman OK 73072-4103
Phone: (405) 364-0643
Fax: (405) 364-0502
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 18183 Oklahoma

Profile Details

NPI number 1255395984
LBN Legal business name Bethel Mulligan, Lesa Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Oct 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255395984 NPPES
Oklahoma Other 100131240B SOONERCARE
Oklahoma MEDICAID 100131240A SOONERCARE

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