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

Lisa Marie Mulligan, MD

Individual provider Otolaryngology Physician · NPI 1093891103

Lisa Marie Mulligan, MD is an Otolaryngology in Edmonds, Washington. Graduated from Wayne State University School of Medicine in 1988, 38 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
38
Trained at
Wayne State University School of Medicine
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21911 76th Ave W Ste 211
Edmonds, WA 98026-7918
Phone: (425) 775-6651
Fax: (425) 670-6718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13020 Meridian Ave S Fl 2, Everett, WA 98208-6468 — (425) 775-6651
  • 515 Minor Ave Ste 140, Seattle, WA 98104-2138 — (425) 775-6651

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence MD00037369 (WA)

Record details

NPI number1093891103
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 31, 2006
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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