| NPI | 1750075776 |
|---|---|
| Other Name | LILAC WELLNESS AND SPA |
| Entity Type | Organization |
| Authorized Contact | LOLA OGUNNIYI President 404-725-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-02-28 |