| Doctor Name: | LYDIA BOOHER |
| NPI Number: | 1013392646 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, APRN, ACNS-BC, |
| License Number: | COA.12299-NS |
| Business Practice Address: | 2320 12th St Sw Akron, OH - 443142058 |
| Business Phone Number: | 3307013591 |
| Business Fax Number: | |
| Mailing Address: | 2320 12th St Sw, AKRON |
| State: | OH |
| Postal Code: | 443142058 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2015 |
| NPI Last Update Date: | 07/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | COA.12299-NS |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |