Individual
DR. PIAVE PITISCI LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
115 FAIRCHILD ST STE 170, DANIEL ISLAND, SC 29492-7602
(803) 339-1563
(803) 746-7902
Mailing address
115 FAIRCHILD ST STE 170, DANIEL ISLAND, SC 29492-7602
(803) 339-1563
(803) 746-7902
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22627
SC
Other
Enumeration date
03/01/2007
Last updated
08/01/2022
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