Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lisa Mask Bull, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790121499

Dr. Lisa Mask Bull, MD is a Dermatology in Tulsa, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2013, 13 years ago. Practices with Pathology Laboratory Associates, Inc, a 25-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
13
Trained at
University of Oklahoma College of Medicine
Licensed in
OK
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Tulsa, OK
Fax: (918) 495-0607

Additional practice locations (1)

  • 9245 S Mingo Rd, Tulsa, OK 74133 — (918) 492-8980

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 30038 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790121499
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2013
Last updated in NPPESSeptember 24, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Pathology Laboratory Associates, Inc. — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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