Provider Demographics
NPI:1003064403
Name:MCGRIFF-METZ, LISA LACHELLE (DDS)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:LACHELLE
Last Name:MCGRIFF-METZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8840 HWY 6
Mailing Address - Street 2:SUITE 140
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459
Mailing Address - Country:US
Mailing Address - Phone:281-778-0543
Mailing Address - Fax:
Practice Address - Street 1:8840 HWY 6
Practice Address - Street 2:SUITE 140
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459
Practice Address - Country:US
Practice Address - Phone:281-778-0543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX236651223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry