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NPI Code Detail

MEDICARE: DR. CHRISTINE JEANETTE LEPOUTRE M.D.

MEDICARE: DR. CHRISTINE JEANETTE LEPOUTRE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianD0061549MD
22084P0800XPsychiatry Physician0101255396VA
32084P0800XPsychiatry PhysicianMD037176DC

General Provider Information

NPI Number : 1154392926
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE JEANETTE LEPOUTRE M.D.
Provider Business Mailing Address
First Line : 14320 KINGS CROSSING BLVD
Second Line :
City : BOYDS
State : MD
Zip : 20841-4322
Country : US
Telephone Number : 301-775-6617
Fax Number : 301-515-4025
Provider Business Practice Location Address
First Line : 3020 14TH ST NW
Second Line : UPPER CARDOZO HEALTH CENTER, UNITY HEALTH CARE
City : WASHINGTON
State : DC
Zip : 20009-6865
Country : US
Telephone Number : 202-299-1787
Fax Number : 202-745-0361
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 06/25/2020

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