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Last Update: Thursday, December 19, 2024 1:14 PM CST
Next Update: Thursday, December 19, 2024 4:30 PM CST
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MULLIGAN, LESA JEAN BETHEL
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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.
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| Practice Address: |
1139 36TH AVE. NW
NORMAN OK 73072
Address last updated on 5/15/2024 |
| Phone #: |
(405) 364-0643 |
| Fax #: |
(405) 364-0502 |
| County: |
CLEVELAND |
| License: |
18183 |
| Dated: |
7/20/1992 |
| Expires: |
7/1/2025 |
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Training
Issued:
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6/22/1991 |
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Training
Expires:
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7/1/1992 |
| License Type: |
Medical Doctor |
| Specialty: |
Obstetrics & Gynecology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
5 /
1991 |
| CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA HMO
CIGNA PPO
HealthChoice
Humana ChoiceCare
OSMA Health (formerly Plico PPO)
PPO USA
Preferred Community Choice
Railroad Medicare
SoonerCare HMO
SoonerCare PPO
United Healthcare Options PPO |
| Hospital Privileges: |
Norman Regional Hospital
Norman, OK
Physicians Surgical Center
Norman, OK
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| Locations: |
Hours: |
Languages: |
1139 36TH AVE. NW
NORMAN OK 73072
Phone #:
(405) 364-0643
Fax #:
(405) 364-0502 |
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 12:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat:
Sun: |
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1139 36th Ave. NW
Norman, OK 73072
Phone #:
(405) 364-0643
Fax #:
(7) 201- |
Mon: 9:00AM - 4:30PM
Tue: 9:00AM - 4:30PM
Wed: 9:00AM - 4:30PM
Thu: 9:00AM - 4:30PM
Fri: 9:00AM - 4:30PM
Sat:
Sun: |
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15951 Little Axe Drive
Norman, OK 73026
Phone #:
(405) 447-0300
Fax #:
(2) 202- |
Mon:
Tue: 8:00AM - 12:00PM
Wed:
Thu:
Fri:
Sat:
Sun: |
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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REBEKAH HAMEL
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APRN |
74468 |
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