LILAC HEALTHCARE LLC NPI 1730724477

NPI Information

LILAC HEALTHCARE LLC is an obstetrics gynecology in Chandler, AZ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. LILAC HEALTHCARE LLC NPI is 1730724477. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lilac Ob-gyn.

The provider's business location address is:

655 S DOBSON RD STE A101
CHANDLER, AZ
ZIP 85224-675
Phone: (833) 454-5226

The provider's authorized official is Sean M Housley .
The authorized official title is Practice Administrator and has the following contact phone number (833) 454-5226.

The CLIA number assigned to this NPI record is 03D2276480 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2019 and was last updated on 1/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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