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LESA J BETHEL MULLIGAN MD PC
NPI 1669506507
Clinic/Center - Medical Specialty in Norman, OK

Active since March 15, 2007
1139 36TH AVE NW STE 100, NORMAN, OK 73072(405) 364-0643(405) 364-0502 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lesa J Bethel Mulligan Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESA J BETHEL MULLIGAN MD PC (NPI 1669506507) is a healthcare organization registered as a medical specialty in Norman, Oklahoma and active in the NPI registry since March 2007. The organization lists Ann M Hopkins, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1669506507
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameLESA J BETHEL MULLIGAN MD PC
Location Address1139 36TH AVE NW STE 100Norman, OK 73072-4104
Mailing Address1139 36th Ave Nw Ste 100Norman, OK 73072-4104 · (405) 364-0643 · Fax (405) 364-0502
Phone(405) 364-0643
Fax(405) 364-0502
Organization SubpartNo
Authorized OfficialAnn M HopkinsInsurance Coordinator · (405) 364-0643
Enumeration DateMarch 15, 2007
Last NPPES UpdateMay 23, 2025
NPPES CertifiedMay 23, 2025
✔ NPI 1669506507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
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).
1139 36TH AVE NW STE 100, Norman, OK 73072
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Other Identifiers 2

Other100131240BOK · Soonercare
Medicaid100131240BOK

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH FLORA APRN-CNP
Nurse Practitioner (Family)
1139 36TH AVE NW STE 100
NORMAN, OK 73072
Cleveland County (405) 217-9997

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lesa J Bethel Mulligan MD PC's NPI number?

The NPI number for Lesa J Bethel Mulligan MD PC is 1669506507. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Lesa J Bethel Mulligan MD PC located?

Lesa J Bethel Mulligan MD PC is located at 1139 36th Ave NW Ste 100, Norman, OK 73072. The listed phone number is (405) 364-0643.

What is Lesa J Bethel Mulligan MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Lesa J Bethel Mulligan MD PC was last updated on May 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.