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Lilac Wellness and Spa LLC

Psychiatric/Mental Health Nurse Practitioner in Tucker, GA · enumerated 2023 · authorized official Lola Ogunniyi, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750075776

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Registry record

Entity type Organization (Type 2)
Legal business name Lilac Wellness and Spa LLC
Other name <Unavail>
Practice address 1841 Montreal Rd Ste 111, Tucker, GA, 30084
Enumeration date Jun 5, 2023
Last updated in NPPES Feb 28, 2024

Taxonomy & classification

163W00000X Registered Nurse Nursing Service Providers Secondary
163WI0500X Infusion Therapy Registered Nurse Nursing Service Providers Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Lola Ogunniyi
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Lilac Wellness and Spa LLC located?
The practice location on file with NPPES is in Tucker, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-02-28. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-28.