| Doctor Name: | MR. LEE ROBERT SKOGAN |
| NPI Number: | 1013005800 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.T. |
| License Number: | 28098 |
| Business Practice Address: | 4192 Stoney Brook Ln Bellingham, WA - 98229 |
| Business Phone Number: | 3607343051 |
| Business Fax Number: | |
| Mailing Address: | 4192 Stoney Brook Ln, BELLINGHAM |
| State: | WA |
| Postal Code: | 98229 |
| Phone Number: | 3607343051 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 08/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 28098 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |