Provider Demographics
NPI:1396827366
Name:LIPKA, JUDY A (DC)
Entity type:Individual
Prefix:DR
First Name:JUDY
Middle Name:A
Last Name:LIPKA
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 1:5631 COTTAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-4210
Mailing Address - Country:US
Mailing Address - Phone:251-661-3330
Mailing Address - Fax:251-661-3317
Practice Address - Street 1:5631 COTTAGE HILL RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-4210
Practice Address - Country:US
Practice Address - Phone:251-661-3330
Practice Address - Fax:251-661-3317
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1029111N00000X, 111NN0400X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN0400XChiropractic ProvidersChiropractorNeurology
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-10379OtherBLUE CROSS BLUE SHIELD
AL515-10379OtherBLUE CROSS BLUE SHIELD
T68487Medicare UPIN