Provider Demographics
NPI:1740885987
Name:COOK, LYDIA ELIZABETH (DC)
Entity type:Individual
Prefix:DR
First Name:LYDIA
Middle Name:ELIZABETH
Last Name:COOK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 N PLAZA BLVD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-1798
Mailing Address - Country:US
Mailing Address - Phone:740-772-4476
Mailing Address - Fax:
Practice Address - Street 1:234 N PLAZA BLVD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-1798
Practice Address - Country:US
Practice Address - Phone:740-772-4476
Practice Address - Fax:740-774-4478
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-05021111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor