Provider Demographics
NPI:1710039565
Name:MCCOY, LISA (MD, MPH)
Entity Type:Individual
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First Name:LISA
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Last Name:MCCOY
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:830 SOUTHAMPTON AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1001
Mailing Address - Country:US
Mailing Address - Phone:757-683-2800
Mailing Address - Fax:757-683-8878
Practice Address - Street 1:830 SOUTHAMPTON AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1001
Practice Address - Country:US
Practice Address - Phone:757-683-2800
Practice Address - Fax:757-683-8878
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2010-03-16
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Provider Licenses
StateLicense IDTaxonomies
VA01012408732083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine