Provider Demographics
NPI:1740363845
Name:LEFEVRE, CHRISTIAN H (MD)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:H
Last Name:LEFEVRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 M STREET N.W.
Mailing Address - Street 2:SUITE 810
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037
Mailing Address - Country:US
Mailing Address - Phone:202-785-0034
Mailing Address - Fax:202-463-2064
Practice Address - Street 1:2440 M ST NW
Practice Address - Street 2:SUITE 810
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1404
Practice Address - Country:US
Practice Address - Phone:202-785-0034
Practice Address - Fax:202-463-2064
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD10731207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC521343066OtherTAX ID
DCB93284Medicare UPIN
DC090381Medicare ID - Type Unspecified