Individual ProviderLiliana LacayoNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address5270 S Fort Apache Rd Ste 330, Las Vegas, NV 89148-1726(702) 776-6720(818) 389-5379PECOS EnrollmentBased on the most recent information from CMS, provider Liliana Lacayo 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 ID1194473116Provider TypeIndividualFull NameLacayo, LilianaCredentialAPRN-CNPGenderFemaleSole ProprietorYesEnumeration Date3/17/2022Last Updated3/17/2022Contact InformationPractice LocationPractice Address5270 S Fort Apache Rd Ste 330, Las Vegas, NV 89148-1726Phone(702) 776-6720FaxUnlisted FaxMailing LocationMailing Address11035 Lavender Hill Dr Ste 160-154, Las Vegas, NV 89135-2955Phone(818) 389-5379Fax(702) 745-0687Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense848059Nevada