| NPI | 1457115438 |
|---|---|
| Doing Business As | LILAC OB-GYN |
| Entity Type | Organization |
| Authorized Contact | SEAN M HOUSLEY Practice Administrator 480-571-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-02-09 |