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LAKE MI MOBILE DOCTORS P.C. NPI 1992057566


NPI Information

NPI: 1992057566
Provider Name: LAKE MI MOBILE DOCTORS, P.C.

Doing Business As: MOBILE DOCTORS OF ST. LOUIS

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
10016 OFFICE CENTER AVE
SUITE 100
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 720-0855
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LAKE MI MOBILE DOCTORS, P.C. is a geriatric medicine internal medicine in Saint Louis, MO. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. LAKE MI MOBILE DOCTORS, P.C. NPI is 1992057566. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mobile Doctors Of St. Louis.

The provider's business location address is:

10016 OFFICE CENTER AVE
SUITE 100
SAINT LOUIS, MO
ZIP 63128-468
Phone: (314) 720-0855
Fax: (314) 735-4335

The provider's authorized official is Tysyn Contreras .
The authorized official title is Director Of Quality Assurance and has the following contact phone number (773) 751-7200.

The enumeration date for this NPI number is 10/8/2012 and was last updated on 10/8/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineNo
2213E00000XPodiatristNo
3207RG0300XInternal MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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