DAVID THEO LAKE

SUMTER, SC
NPI1154853430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: SC  85514)
Additional Taxonomies207R00000X Internal Medicine
(Licence: SC  85514)
Enumeration Date2017-03-28
Last Update Date2023-08-04
Business Address
Dr. DAVID THEO LAKE M.D.
129 N WASHINGTON ST
SUMTER, SC 29150-4949
Phone number: 803-774-9680
Mailing Address
Dr. DAVID THEO LAKE M.D.
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603