OrganizationActive
Lake Mi Mobile Doctors, P.C.
NPI 1992057566 · Geriatric Medicine (Internal Medicine) Physician · Saint Louis, MO
Provider details
- NPI number
- 1992057566
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Tysyn Contreras, Director of Quality Assurance
Practice location
10016 Office Center Ave
Suite 100
Saint Louis, MO 63128-1468
Phone: (314) 720-0855
Fax: (314) 735-4335
Mailing address
3319 N Elston Ave
Chicago, IL 60618-5811
Registry dates
- Enumerated
- 2012-10-08
- Last updated
- 2012-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.