Magnolia Medical, LLC

NPI #1174094304 in Lafayette, Louisiana

Provider Information

NPI Number
1174094304
Entity Type
Organization
Organization Name
Magnolia Medical, LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Dec 16, 2018
Last Updated
Dec 16, 2018

Practice Location

Address
626 VEROT SCHOOL RD STE C
ZIP Code
70508-5094
Phone
(337) 210-2060

Authorized Official

Name
MARISSA BEESLEY
Title
BILLING MANAGER
Phone
(601) 442-6493

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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