IndividualActive
Jason Lake, M.D., M.P.H.
NPI 1609195189 · Pediatric Infectious Diseases Physician · Charleston, SC
Provider details
- NPI number
- 1609195189
- Entity type
- Individual
- Primary specialty
- Pediatric Infectious Diseases PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., M.P.H.
- Sex
- Male
- Sole proprietor
- No
- License
- 11680333-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
171 Ashley Ave
Charleston, SC 29425-1002
Phone: (843) 792-1414
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 751461
Charlotte, NC 28275-1461
Registry dates
- Enumerated
- 2010-05-24
- Last updated
- 2024-06-25
- Certified
- 2024-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.