Individual ProviderLawrence Del MundoNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address8709 Cerrito Canyon Ct, Las Vegas, NV 89148-1378(702) 588-4053PECOS EnrollmentBased on the most recent information from CMS, provider Lawrence Del Mundo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1063259265Provider TypeIndividualFull NameDel Mundo, LawrenceGenderMaleSole ProprietorYesEnumeration Date7/15/2024Last Updated7/15/2024Contact InformationPractice LocationPractice Address8709 Cerrito Canyon Ct, Las Vegas, NV 89148-1378Phone(702) 588-4053FaxUnlisted FaxMailing LocationMailing Address8709 Cerrito Canyon Ct., Las Vegas, NV 89148Phone(702) 588-4053FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense812972Nevada