Individual
LEE STEPHEN MEGOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7500 STATE RD, CINCINNATI, OH 45255-2439
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, STE 258, EDGEWOOD, KY 41017-5401
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35 04 8827M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000012352
ANTHEM BLUE SHIELD
—
05
—
0713311
—
OH
05
—
200377670
—
IN
01
—
31 1105593
TAX ID
—
01
—
614547
WELLCARE
KY
05
—
64063357
—
KY
Enumeration date
11/10/2005
Last updated
11/04/2011
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