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Organization
RUBEN T AGRA MD AND LOLITA R. AGRA MD
Active
Organization
RUBEN T AGRA MD AND LOLITA R. AGRA MD
Active
Other names
Olympia Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LOLITA R AGRA MD (MEDICAL DOCTOR)
(216) 441-0660
Entity
Organization
Contact information
Practice address
3361 E 55TH STREET, CLEVELAND, OH 44127-1547
(216) 441-0660
(216) 441-7261
Mailing address
PO BOX 770502, LAKEWOOD, OH 44107-0027
(440) 930-0609
(440) 653-9889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35034511
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0719824
—
OH
Enumeration date
10/20/2006
Last updated
10/01/2015
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