Lycksell, Robert Lee

Lycksell, Robert Lee is an individual health care provider with primary practice located at 231 Se Barrington Drive Suite 209, Oak Harbor WA 98277. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lycksell, Robert Lee can be contacted via phone (360) 679-3161.

Contact Information

Primary practice address
231 Se Barrington Drive Suite 209 Oak Harbor WA 98277
Phone: (360) 679-3161
Fax: (360) 679-1741
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00020054 Washington

Profile Details

NPI number 1922085901
LBN Legal business name Lycksell, Robert Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Feb 21st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922085901 NPPES
Other 080037635 RAILROAD MEDICARE
Other 05867 RAILROAD MEDICARE
Other G001148103 RAILROAD MEDICARE

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