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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, P.C.

NPI Number 1992057566
LBN Legal business name LAKE MI MOBILE DOCTORS, P.C.
Authorized official TYSYN CONTRERAS - (DIRECTOR OF QUALITY ASSURANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 10/08/2012
Last updated 10/08/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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