Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Justin Blake Lee, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679159776

Dr. Justin Blake Lee, MD is a Dermatology in Triadelphia, West Virginia. Graduated from West Virginia University School of Medicine in 2021, 5 years ago. Practices with Mountain State Medical Specialties PLLC, a 38-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
5
Trained at
West Virginia University School of Medicine
Licensed in
WV
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

500 Cabela Dr
Triadelphia, WV 26059-1044
Phone: (681) 618-1011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 32512 (WV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679159776
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2021
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address500 Cabela Dr, Triadelphia, WV 26059-1044

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Mountain State Medical Specialties Pllc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare