Healthcare Provider Details

I. General information

NPI: 1952011678
Provider Name (Legal Business Name): NICOLE LEHRER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2022
Last Update Date: 12/06/2022
Certification Date: 12/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 W BOWERY ST
AKRON OH
44308-1046
US

IV. Provider business mailing address

40 PINE VILLA TRL
AURORA OH
44202-6514
US

V. Phone/Fax

Practice location:
  • Phone: 330-604-4214
  • Fax:
Mailing address:
  • Phone: 330-607-4214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number0032302
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number0032302
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: