Individual
LOLITA R AGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3361 E 55TH ST, CLEVELAND, OH 44127-1547
(216) 441-0660
(216) 883-3335
Mailing address
3361 E 55TH ST, CLEVELAND, OH 44127-1547
(216) 441-0660
(216) 883-3335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03354511
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186758
—
OH
01
—
9926401
MEDICARE GROUP
OH
Enumeration date
11/15/2007
Last updated
12/04/2007
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