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Organization

LILAC HEALTHCARE LLC

Active
Other names
Lilac Ob-gyn
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SEAN M HOUSLEY (PRACTICE ADMINISTRATOR)
(833) 454-5226
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
11/15/2019
Last updated
01/10/2020
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