# LILAC HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1730724477
- **Authorized official:** MR. SEAN M HOUSLEY (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (833) 454-5226

## Contact information

- **Practice address:** 655 S DOBSON RD STE A101, CHANDLER, AZ 85224-5675
- **Practice address phone:** (833) 454-5226
- **Mailing address:** 655 S DOBSON RD STE 101, CHANDLER, AZ 85224-5668
- **Mailing address phone:** (833) 454-5226

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2019
- **Last updated:** 01/10/2020