Mulligan, Lisa Marie

Mulligan, Lisa Marie is an individual health care provider with primary practice located at 21911 76Th Ave W Ste 211 , Edmonds WA 98026-7918. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Mulligan, Lisa Marie can be contacted via phone (425) 775-6651.

Contact Information

Primary practice address
21911 76Th Ave W Ste 211 Edmonds WA 98026-7918
Fax: (425) 670-6718
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD00037369 Washington

Profile Details

NPI number 1093891103
LBN Legal business name Mulligan, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated May 2nd, 2023 - 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 1093891103 NPPES
Washington MEDICAID 2140095

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