Individual
LISA S MOGELNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2431 E 61ST ST STE 500, TULSA, OK 74136-1208
(918) 582-6800
(918) 582-6060
Mailing address
2431 E 61ST ST STE 500, TULSA, OK 74136-1208
(918) 582-6800
(918) 582-6060
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
291
OK
Other
Enumeration date
05/24/2011
Last updated
12/18/2024
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