Healthcare Provider Details

I. General information

NPI: 1366351348
Provider Name (Legal Business Name): CATHERINE MULONDO LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 W LIBERTY ST STE 6
LANCASTER PA
17603-2748
US

IV. Provider business mailing address

313 W LIBERTY ST STE 6 SUITE 6
LANCASTER PA
17603-2748
US

V. Phone/Fax

Practice location:
  • Phone: 717-826-9339
  • Fax: 223-210-3143
Mailing address:
  • Phone: 717-826-9339
  • Fax: 223-210-3143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN285833
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: