Lake, Robert Scott

Lake, Robert Scott is an individual health care provider with primary practice located at 2097 Henry Tecklenburg Dr Ste 201W , Charleston SC 29414-5739. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Lake, Robert Scott can be contacted via phone (843) 402-1211.

Contact Information

Primary practice address
2097 Henry Tecklenburg Dr Ste 201W Charleston SC 29414-5739
Phone: (843) 402-1211
Fax: (843) 606-8088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 22236 South Carolina
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 22236 South Carolina

Profile Details

NPI number 1487696019
LBN Legal business name Lake, Robert Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Jun 11th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487696019 NPPES
South Carolina MEDICAID 222360
South Carolina Other P00727226
South Carolina Other P00269321

Popular Providers