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Contact Information

LAKE MI MOBILE DOCTORS, P.C.
10016 OFFICE CENTER AVE
SUITE 100
SAINT LOUIS, MO63128-1468
 Phone: 314-720-0855
 Fax: 314-735-4335
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for LAKE MI MOBILE DOCTORS PC · (Female)

NPI Number 1992057566
Status Active
Credentials
Entity Individual
Enumeration date 10/08/2012
Last updated 10/08/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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