Organization
LILAC MOON PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME OBRIEN OUTTERBRIDGE CPPD (DOULA)
(215) 704-8532
Entity
Organization
Contact information
Practice address
3449 SCOTTS LN UNIT A207, PHILADELPHIA, PA 19129-1888
(215) 704-8532
Mailing address
3449 SCOTTS LN UNIT A207, PHILADELPHIA, PA 19129-1888
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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