Individual
LEE A BAGGOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
BURKE LAKEFRONT AIRPORT, 1501 N MARGINAL RD. SUITE 162, CLEVELAND, OH 44114
(216) 333-7051
Mailing address
PO BOX 83, GATES MILLS, OH 44040
(216) 333-7051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.099043
OH
207R00000X
Internal Medicine Physician
MD12941
ME
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35.099043
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD12941
ME
207RP1001X
Pulmonary Disease Physician
35.099043
OH
207RP1001X
Pulmonary Disease Physician
MD12941
ME
2083A0100X
Aerospace Medicine Physician
Primary
35.099043
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000851675
ANTHEM BLUE CROSS BLUE SHIELD
OH
05
—
0094506
—
OH
01
—
046076
ANTHEM BLUE CROSS BLUE SHIELD
ME
05
—
189790000
—
ME
01
—
5757272
AETNA
ME
01
—
M59001
CIGNA
ME
01
—
P00024541
RAILROAD MEDICARE
ME
01
—
P01772689
RAILROAD MEDICARE
OH
Enumeration date
07/09/2006
Last updated
12/24/2024
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