Provider Demographics
NPI:1437355260
Name:LYNN, RIKK (MD)
Entity Type:Individual
Prefix:
First Name:RIKK
Middle Name:
Last Name:LYNN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1669 LAS CANOAS RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2364
Mailing Address - Country:US
Mailing Address - Phone:661-993-2479
Mailing Address - Fax:805-244-2568
Practice Address - Street 1:601 E ARRELLAGA ST
Practice Address - Street 2:STE 101
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-2275
Practice Address - Country:US
Practice Address - Phone:805-944-1130
Practice Address - Fax:805-244-2568
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2023-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA112258207N00000X
IL036124750207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1437355260Medicaid