Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Mi Mobile Doctors, PC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1992057566

Lake Mi Mobile Doctors, PC is a Geriatric Medicine (Family Medicine) Physician in Saint Louis, Missouri. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10016 Ofc Center Ave Ste 100
Saint Louis, MO 63128-1468
Phone: (314) 720-0855
Fax: (314) 735-4335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1992057566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tysyn Contreras — Director Of Quality Assurance · (773) 751-7200
Other names Mobile Doctors Of St. Louis
NPI enumeratedOctober 8, 2012
Last updated in NPPESOctober 8, 2012
Mailing address3319 N Elston Ave, Suite 200, Chicago, IL 60618-5811

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