Olympia Medical Clinic | |
3361 E 55th Street Cleveland OH 44127-1547 | |
(216) 441-0660 | |
(216) 441-7261 |
Full Name | Olympia Medical Clinic |
---|---|
Speciality | Family Medicine |
Location | 3361 E 55th Street, Cleveland, Ohio |
Authorized Official Name and Position | Lolita R Agra (MEDICAL DOCTOR) |
Authorized Official Contact | 2164410660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Olympia Medical Clinic Po Box 770502 Lakewood OH 44107-0027 Ph: (440) 930-0609 | Olympia Medical Clinic 3361 E 55th Street Cleveland OH 44127-1547 Ph: (216) 441-0660 |
NPI Number | 1467534198 |
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Provider Enumeration Date | 10/20/2006 |
Last Update Date | 10/01/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467534198 | NPI | - | NPPES |
0719824 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35034511 (Ohio) | Primary |
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