Individual
JENNA LEPUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2950
(443) 444-8000
Mailing address
5601 LOCH RAVEN BLVD STE 2, BALTIMORE, MD 21239-2991
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0010320
MD
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MD
Other
Enumeration date
12/08/2025
Last updated
02/05/2026
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