LESA J BETHEL MULLIGAN MD PC NPI 1669506507

NPI Information

  • NPI: 1669506507
  • Provider Name: LESA J BETHEL MULLIGAN MD PC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 1139 36TH AVE NW STE 100
    NORMAN, OK
    ZIP 73072
  • Phone: (405) 364-0643

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NPI Details

LESA J BETHEL MULLIGAN MD PC is a medical specialty clinic center in Norman, OK. The provider is 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). LESA J BETHEL MULLIGAN MD PC NPI is 1669506507. The provider is registered as an organization entity type.

The provider's business location address is:

1139 36TH AVE NW STE 100
NORMAN, OK
ZIP 73072-104
Phone: (405) 364-0643
Fax: (405) 364-0502

The provider's authorized official is Ann M Hopkins .
The authorized official title is Insurance Coordinator and has the following contact phone number (405) 364-0643.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 5/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100131240BOTHEROKLAHOMASOONERCARE
2100131240BMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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