LISA S MOGELNICKI, DPM, Podiatrist TULSA, OK

Contact Information

LISA S MOGELNICKI, DPM

2431 E 61ST ST STE 500
TULSA, OK 74136-1208

Phone: 918-582-6800
Fax: 918-582-6060
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Podiatrist	213E00000X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for LISA S MOGELNICKI · (Female)

NPI #	`1689967739`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	05/24/2011
Last updated	12/18/2024 - More than a year ago
Sole proprietor ¹	No
Identifiers	OK License # 291
Hospital affiliation(s)	BRISTOW MEDICAL CENTER - (Acute Care) 700 W. 7TH STREET BRISTOW, OK 74010 OKLAHOMA STATE UNIVERSITY MEDICAL CENTER - (Acute Care) 744 WEST 9TH STREET TULSA, OK 74127 SAINT FRANCIS HOSPITAL INC - (Acute Care) 6161 SOUTH YALE TULSA, OK 74136 SAINT FRANCIS HOSPITAL SOUTH - (Acute Care) 10501 EAST 91ST STREET SOUTH TULSA, OK 74133

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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