Provider Demographics
NPI:1629420757
Name:LEPUS, CHRISTIN M (MD, PHD)
Entity type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:M
Last Name:LEPUS
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12501 E MARGINAL WAY S
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98168-5162
Mailing Address - Country:US
Mailing Address - Phone:206-576-6050
Mailing Address - Fax:
Practice Address - Street 1:12501 E MARGINAL WAY S
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-5162
Practice Address - Country:US
Practice Address - Phone:206-576-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-13
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA267791207ZP0101X
WAMD61164652207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology