Provider Demographics
NPI:1427665579
Name:MOBILE MEDICAL MISSIONS,LLC
Entity type:Organization
Organization Name:MOBILE MEDICAL MISSIONS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-228-9411
Mailing Address - Street 1:1385 HIGHWAY 494
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-2826
Mailing Address - Country:US
Mailing Address - Phone:318-228-9411
Mailing Address - Fax:
Practice Address - Street 1:1055 PARKWAY DR STE A
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-6276
Practice Address - Country:US
Practice Address - Phone:318-228-9411
Practice Address - Fax:318-352-2488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty