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Individual

DR. LYNN BRIAN GEICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3740 UTICA RIDGE RD, STE B, BETTENDORF, IA 52722-1624
(563) 344-7400
(563) 359-9395
Mailing address
3740 UTICA RIDGE RD, STE B, BETTENDORF, IA 52722-1624
(563) 344-7400
(563) 359-9395

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036092268
IL
207Q00000X
Family Medicine Physician
Primary
29369
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010063977
MEDICARE RAILROAD
05
036-092268
IL
01
036092268
LIC
IL
01
075390
HEALTH ALLIANCE
01
29369
LIC
IA
05
3140525
IA
01
40805
BCBS
IA
01
8122900
BCBS GROUP NUMBER
IL
Enumeration date
02/06/2006
Last updated
07/14/2016
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