IndividualActive
Justin Lee, MD
NPI 1679159776 · Dermatology Physician · Triadelphia, WV
Provider details
- NPI number
- 1679159776
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Mailing address
500 Cabela Dr
Triadelphia, WV 26059-1044
Registry dates
- Enumerated
- 2021-03-20
- Last updated
- 2025-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.