Agra, Lolita R

Agra, Lolita R is an individual health care provider with primary practice located at 3361 E 55Th St , Cleveland OH 44127-1547. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Agra, Lolita R can be contacted via phone (216) 441-0660.

Contact Information

Primary practice address
3361 E 55Th St Cleveland OH 44127-1547
Fax: (216) 883-3335
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 03354511 Ohio

Profile Details

NPI number 1467633727
LBN Legal business name Agra, Lolita R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2007
Last updated Dec 4th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467633727 NPPES
Ohio MEDICAID 0186758
Ohio Other 9926401

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