# LILAC HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lilac Ob-Gyn
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376307355
- **Authorized official:** SEAN M HOUSLEY (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (480) 571-3737

## Contact information

- **Practice address:** 655 S DOBSON RD STE 205, CHANDLER, AZ 85224-5669
- **Practice address phone:** (480) 459-2555
- **Mailing address:** 655 S DOBSON RD STE 101, CHANDLER, AZ 85224-5668
- **Mailing address phone:** (480) 459-2555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2024
- **Last updated:** 02/09/2024