Provider Demographics
NPI:1659424406
Name:HADLEY, LISA (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:
Last Name:HADLEY
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 1:1808 T ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-7126
Mailing Address - Country:US
Mailing Address - Phone:410-610-8756
Mailing Address - Fax:202-379-3494
Practice Address - Street 1:1808 T ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-7126
Practice Address - Country:US
Practice Address - Phone:410-610-8756
Practice Address - Fax:202-379-3494
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD487072C2084P0800X
NJ25MA107304002084P0800X
IAMD-440012084P0800X
MDD355212084P0800X
NY292023-012084P0800X
VA01012527332084P0800X
DEC1-00276472084P0800X
CT794342084P0800X
DCMD0407562084P0800X
NMMD2016-09492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD197681800Medicaid
E23705Medicare UPIN