| NPI | 1730724477 |
|---|---|
| Doing Business As | LILAC OB-GYN |
| Entity Type | Organization |
| Authorized Contact | SEAN M HOUSLEY Practice Administrator 833-454-5226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2020-01-10 |