Healthcare Provider Details

I. General information

NPI: 1194466433
Provider Name (Legal Business Name): LAURA ARDEN ANDREWS-LEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 ASHLEY AVE
CHARLESTON SC
29425-3040
US

IV. Provider business mailing address

169 ASHLEY AVE
CHARLESTON SC
29425-3040
US

V. Phone/Fax

Practice location:
  • Phone: 843-792-1414
  • Fax:
Mailing address:
  • Phone: 843-792-2575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberLL90228
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: