Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lilac Wellness and Spa LLC

Organization Registered Nurse · NPI 1750075776

Lilac Wellness and Spa LLC is a Registered Nurse in Tucker, Georgia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1841 Montreal Rd Ste 111
Tucker, GA 30084-5712
Phone: (470) 871-9105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Registered Nurse Taxonomy 163W00000X
Infusion Therapy Registered Nurse Taxonomy 163WI0500X

Record details

NPI number1750075776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lola Ogunniyi — President · (404) 725-8455
Other names Lilac Wellness And Spa; Lilac Wellness And Spa
NPI enumeratedJune 5, 2023
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024
Mailing address3050 Five Forks Trickum Rd Sw Ste D454, Lilburn, GA 30047-1810

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