Cathleen Lombard

Individual provider Active NPI Licensed Practical Nurse · Orting, WA

NPI 1386196137 · NPPES record last updated Oct 27, 2016

Key facts

NPI
1386196137
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LP00035022 (WA)
Practice address
121 Whitesell St NE
Orting, WA 98360-8410
Phone
(360) 893-6500
NPI assigned
Oct 27, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LP00035022WAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP00035022 WA Yes

Addresses

Primary practice location

121 Whitesell St NE
Orting, WA 98360-8410

Mailing address

1640 Redstone Center Dr
Suite 200
Park City, UT 84098-7605
Phone (866) 474-6677

Other providers in Orting, WA

All providers in Orting, WA · Licensed Practical Nurse in Washington

Sources for this page

Verify at the official NPI Registry.