Provider Demographics
NPI:1679639173
Name:MCCURRY, LISA JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:JANE
Last Name:MCCURRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3718 LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-1706
Mailing Address - Country:US
Mailing Address - Phone:301-942-7741
Mailing Address - Fax:301-942-6540
Practice Address - Street 1:3718 LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-1706
Practice Address - Country:US
Practice Address - Phone:301-942-7741
Practice Address - Fax:301-942-6540
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00600412084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry