Provider Demographics
NPI:1780863019
Name:BYBYK, LYNN (DC)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:BYBYK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24665 MONROE AVE.
Mailing Address - Street 2:SUITE #101
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562
Mailing Address - Country:US
Mailing Address - Phone:951-677-7343
Mailing Address - Fax:951-677-7163
Practice Address - Street 1:24665 MONROE AVE.
Practice Address - Street 2:SUITE #101
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562
Practice Address - Country:US
Practice Address - Phone:951-677-7343
Practice Address - Fax:951-677-7163
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-02
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21914111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0219140OtherBLUE SHIELD OF CALIFORNIA
CADC0219140OtherBLUE SHIELD
CADC0219140OtherBLUE SHIELD