Provider Demographics
NPI:1831554005
Name:LOUGEE, SCOTT (PA)
Entity type:Individual
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First Name:SCOTT
Middle Name:
Last Name:LOUGEE
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Gender:M
Credentials:PA
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Mailing Address - Street 1:4432 N MILLER RD
Mailing Address - Street 2:STE. 102
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3697
Mailing Address - Country:US
Mailing Address - Phone:480-306-7227
Mailing Address - Fax:480-306-7238
Practice Address - Street 1:9971 W CAMELBACK RD
Practice Address - Street 2:SUITE 105
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-5011
Practice Address - Country:US
Practice Address - Phone:623-872-0002
Practice Address - Fax:623-872-1112
Is Sole Proprietor?:No
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
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Provider Licenses
StateLicense IDTaxonomies
AZ6255363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant