NPI 1154853430
David Theo Lake, MD
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
Internal Medicine Physician
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.