Provider Demographics
NPI:1003899014
Name:ERDIE-LALENA, CHRISTINE ROSE (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ROSE
Last Name:ERDIE-LALENA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 LERCHENSTRASSE
Mailing Address - Street 2:
Mailing Address - City:WALLHALBEN
Mailing Address - State:RHEINLAND PHALZ
Mailing Address - Zip Code:66917
Mailing Address - Country:DE
Mailing Address - Phone:01149637-580-9545
Mailing Address - Fax:
Practice Address - Street 1:9300 DEWITT LOOP
Practice Address - Street 2:
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-5285
Practice Address - Country:US
Practice Address - Phone:571-231-1177
Practice Address - Fax:571-231-6631
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2019-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0228502080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics