Provider Demographics
NPI:1154392926
Name:LEPOUTRE, CHRISTINE JEANETTE (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:JEANETTE
Last Name:LEPOUTRE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:14320 KINGS CROSSING BLVD
Mailing Address - Street 2:
Mailing Address - City:BOYDS
Mailing Address - State:MD
Mailing Address - Zip Code:20841-4322
Mailing Address - Country:US
Mailing Address - Phone:301-775-6617
Mailing Address - Fax:301-515-4025
Practice Address - Street 1:3020 14TH ST NW
Practice Address - Street 2:UPPER CARDOZO HEALTH CENTER, UNITY HEALTH CARE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-6865
Practice Address - Country:US
Practice Address - Phone:202-299-1787
Practice Address - Fax:202-745-0361
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2020-06-25
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Provider Licenses
StateLicense IDTaxonomies
MDD00615492084P0800X
VA01012553962084P0800X
DCMD0371762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry