Whalio Doctors

NPI 1154853430

David Theo Lake, MD

Practitioner Hospitalist Physician Sumter, SC

Practice location

Address
129 N Washington St, Sumter, SC 29150-4949
Phone
(803) 774-9680
Fax
(803) 434-3955
Mailing address
300 E McBee Ave Fl 4, Greenville, SC 29601-2842

Registered specialties (2)

Hospitalist Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 85514 (SC)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 85514 (SC)

Registry record

NPI
1154853430
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Mar 2017
Record last updated
23 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.