Individual provider · NPI-1

Lolita R Agra, M.D.

Family Medicine · Cleveland, OH

NPI number1467633727
StatusActive
Last updated in NPPESDec 4, 2007

Details

NPI
1467633727
Entity type
Individual (NPI-1)
Name
Lolita R Agra
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Nov 15, 2007
Last updated
Dec 4, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine03354511OHYes

Practice location

3361 E 55th St
Cleveland, OH 44127-1547

Phone 216-441-0660 · Fax 216-883-3335

Mailing address

3361 E 55th St
Cleveland, OH 44127-1547

Phone 216-441-0660 · Fax 216-883-3335

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