Provider Demographics
NPI:1245231554
Name:MULLIGAN, LISA PATRICIA (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:PATRICIA
Last Name:MULLIGAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3813 LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-1534
Mailing Address - Country:US
Mailing Address - Phone:301-295-4429
Mailing Address - Fax:301-295-4430
Practice Address - Street 1:NATIONAL NAVAL MEDICAL CENTER/ DEPT OF NEUROSURGER
Practice Address - Street 2:8901 WISCONSIN AVE. BLDG. 9, 2ND DECK
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-4421
Practice Address - Fax:301-295-4430
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MDD0046475207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery