Provider Demographics
NPI:1326010299
Name:GEICK, LYNN BRIAN (MD)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:BRIAN
Last Name:GEICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3740 UTICA RIDGE RD
Mailing Address - Street 2:STE B
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-1624
Mailing Address - Country:US
Mailing Address - Phone:563-344-7400
Mailing Address - Fax:563-359-9395
Practice Address - Street 1:3740 UTICA RIDGE RD
Practice Address - Street 2:STE B
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-1624
Practice Address - Country:US
Practice Address - Phone:563-344-7400
Practice Address - Fax:563-359-9395
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA29369207Q00000X
IL036092268207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
010063977OtherMEDICARE RAILROAD
IL036-092268Medicaid
IA3140525Medicaid
IL8122900OtherBCBS GROUP NUMBER
IL036092268OtherLIC
IA29369OtherLIC
075390OtherHEALTH ALLIANCE
IA40805OtherBCBS
IL036092268OtherLIC
IL036-092268Medicaid
075390OtherHEALTH ALLIANCE