Lilac Healthcare LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

LILAC HEALTHCARE LLC

Practice address

655 S Dobson Rd Ste 205
Chandler, AZ 85224-5669

Phone

(480) 459-2555

NPI assigned

Feb 9, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sean M Housley

Title

Practice Administrator

Phone

(480) 571-3737

Specialties & licenses 1

Addresses

Other names 1

• Lilac Ob-Gyn Doing business as

Tax ID family

Lilac Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lilac Healthcare LLC

  • Obstetrics & Gynecology Physician
  • Gilbert, AZ
  • NPI 1457115438
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1376307355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 S DOBSON RD STE 101",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245668",
            "telephone_number": "480-459-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S DOBSON RD STE 205",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245669",
            "telephone_number": "480-459-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILAC HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "HOUSLEY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "480-571-3737"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lilac Ob-Gyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lifetime Wellness Center
• Mallory Light
• Lilac Healthcare LLC
• Lauren Lill
• Jessica Lillibridge, MA, BCBA
• Kayleen Lilly
• Eva Liza Pascual Lim, MSN,FNP-BC

• All providers in Chandler, AZ
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.