Provider Demographics
NPI:1144808965
Name:LUGUMIRA, CATHALINA N (LPN)
Entity type:Individual
Prefix:
First Name:CATHALINA
Middle Name:N
Last Name:LUGUMIRA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 S MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-2099
Mailing Address - Country:US
Mailing Address - Phone:866-679-0831
Mailing Address - Fax:866-679-0831
Practice Address - Street 1:44 S MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-2099
Practice Address - Country:US
Practice Address - Phone:866-679-0831
Practice Address - Fax:802-332-3117
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH015393-22164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse