Provider Demographics
NPI:1649371980
Name:MCGRAIL, LISA HOUDE (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:HOUDE
Last Name:MCGRAIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5454 WISCONSIN AVE
Mailing Address - Street 2:SUITE 1300
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6901
Mailing Address - Country:US
Mailing Address - Phone:301-657-4588
Mailing Address - Fax:301-657-7990
Practice Address - Street 1:5454 WISCONSIN AVE
Practice Address - Street 2:SUITE 1300
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6901
Practice Address - Country:US
Practice Address - Phone:301-657-4588
Practice Address - Fax:301-657-7990
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD22131207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology