NPI 1679159776

Justin Blake Lee, MD

Practitioner Dermatology Physician Triadelphia, WV

Practice location

Address: 500 Cabela Dr, Triadelphia, WV 26059-1044
Phone: (681) 618-1011

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 32512 (WV)

Other Dermatology providers in West Virginia →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1679159776
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2021
Record last updated: 2 Jul 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.