Provider Demographics
NPI:1376394718
Name:OLIMBA, LESTER JAN ALVARADO (MD)
Entity Type:Individual
Prefix:MR
First Name:LESTER JAN
Middle Name:ALVARADO
Last Name:OLIMBA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 EAST MARKET ST. SUMMA HEALTH/INTERNAL MEDICINE RESI
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304
Mailing Address - Country:US
Mailing Address - Phone:330-375-3315
Mailing Address - Fax:
Practice Address - Street 1:525 EAST MARKET ST. SUMMA HEALTH/INTERNAL MEDICINE RESI
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304
Practice Address - Country:US
Practice Address - Phone:330-375-3315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program