Organization · Type 2 NPI
Lesa J Bethel Mulligan MD PC
Medical Specialty Clinic/Center · Norman, OK
Practice location
1139 36th Ave NW Ste 100
Norman, OK 73072-4104
Fax (405) 364-0502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | None listed |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Another provider at this address
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About NPI 1669506507
Lesa J Bethel Mulligan MD PC's National Provider Identifier is 1669506507, issued on Mar 15, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Norman, OK. The record was last updated on May 23, 2025.