Provider Demographics
NPI:1578662003
Name:HUFFARD, RICHARD LANSING (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:LANSING
Last Name:HUFFARD
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 1:319 N MILPAS ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-3262
Mailing Address - Country:US
Mailing Address - Phone:805-965-3011
Mailing Address - Fax:805-965-3441
Practice Address - Street 1:319 N MILPAS ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-3262
Practice Address - Country:US
Practice Address - Phone:805-965-3011
Practice Address - Fax:805-965-3441
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG47299207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG47299GMedicare PIN
CAWG47299FMedicare PIN
CAW14270Medicare PIN
CAA50649Medicare UPIN
CAW14270AMedicare PIN