Look up the most recent NPI and PECOS records

Lawrence John Mumie

Radiology

Allopathic & Osteopathic Physicians

100 N Academy Ave, Danville, PA 17822-1248

PECOS Enrollment

This provider is enrolled in PECOS as LAWRENCE MUMIE.

Based on the most recent information from CMS, provider Lawrence John Mumie is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1205276938
Provider Type
Individual
Full Name
Mumie, Lawrence John
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/26/2013
Last Updated
9/9/2021

Contact Information

Practice Location

100 N Academy Ave, Danville, PA 17822-1248

(570) 271-6301

Unlisted Fax

Mailing Location

100 N Academy Ave, Danville, PA 17822-4903

(570) 271-6144

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License MD463294 Pennsylvania
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 4301103743 Michigan
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License 287103 New York
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License ME138951 Florida

Lawrence John Mumie

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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