Provider Demographics
NPI:1255495040
Name:LA CROIX, CHRISTINA LORRAINE (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:LORRAINE
Last Name:LA CROIX
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7506 CODDLE HARBOR LN
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3249
Mailing Address - Country:US
Mailing Address - Phone:301-299-5779
Mailing Address - Fax:301-299-5779
Practice Address - Street 1:9800 FORT BELVOIR ROAD
Practice Address - Street 2:
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060
Practice Address - Country:US
Practice Address - Phone:571-231-4629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01022020862081P0301X, 2084P0800X, 171100000X, 208100000X
VA0116018976208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2081P0301XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationBrain Injury Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No171100000XOther Service ProvidersAcupuncturist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation