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

Lara Wine Lee, MD

Individual provider Pediatrics Physician · NPI 1710187224

Lara Wine Lee, MD is a Dermatology in Charleston, South Carolina. Graduated from Perelman School of Med at the University of Pennsylvania in 2007, 19 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and South Carolina.

Years since qualifying
19
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
PA, SC
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-1414
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Pediatric Dermatology Physician (primary) Taxonomy 207NP0225X · Licence 37328 (SC)
Pediatrics Physician Taxonomy 208000000X · Licence MT190407 (PA)
Dermatology Physician Taxonomy 207N00000X · Licence 37328 (SC)

Record details

NPI number1710187224
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 23, 2007
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2007 (19 years in practice)
Group practice University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Charleston