Provider Demographics
NPI:1861663049
Name:MCCAULEY, LIPIKA ROY (MD)
Entity Type:Individual
Prefix:
First Name:LIPIKA
Middle Name:ROY
Last Name:MCCAULEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13555 W MCDOWELL RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-2624
Mailing Address - Country:US
Mailing Address - Phone:623-935-5522
Mailing Address - Fax:623-935-3220
Practice Address - Street 1:13555 W MCDOWELL RD
Practice Address - Street 2:SUITE 304
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2624
Practice Address - Country:US
Practice Address - Phone:623-935-5522
Practice Address - Fax:623-935-3220
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ81125208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology