Provider Demographics
NPI:1720145436
Name:MCBRIDE, LUCY M (MD)
Entity type:Individual
Prefix:
First Name:LUCY
Middle Name:M
Last Name:MCBRIDE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4910 MASSACHUSETTS AVE NW STE 215
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4368
Mailing Address - Country:US
Mailing Address - Phone:202-953-0990
Mailing Address - Fax:202-845-7344
Practice Address - Street 1:4910 MASSACHUSETTS AVE NW STE 215
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4368
Practice Address - Country:US
Practice Address - Phone:202-953-0990
Practice Address - Fax:202-845-7344
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD34072207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCH95911Medicare UPIN
DC019296Medicare ID - Type Unspecified