National Provider Identifier Database

LAKE MI MOBILE DOCTORS PC
Geriatric Medicine

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.


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
* Geriatric Medicine 207RG0300X
Geriatric Medicine 207QG0300X
Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for LAKE MI MOBILE DOCTORS, P.C.

NPI Number 1992057566
Legal business name
LBN
LAKE MI MOBILE DOCTORS, P.C.
Authorized official TYSYN CONTRERAS - (DIRECTOR OF QUALITY ASSURANCE)
Entity Organization
Organization subpart No
Enumeration date 10/08/2012
Last updated 10/08/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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