Magnolia Life LLC

NPI #1215445564 in Freeport, Florida

Provider Information

NPI Number: 1215445564
Entity Type: Organization
Organization Name: Magnolia Life LLC
Primary Specialty: Chiropractor
Enumeration Date: Jan 19, 2018
Last Updated: Jan 19, 2018

Practice Location

Address: 17287 US HIGHWAY 331 S
City: Freeport
State: Florida
ZIP Code: 32439-4206
Phone: (850) 312-9573

Authorized Official

Name: DR. MORGAN LIGHTSEY-SANTOS, DC
Title: OWNER
Phone: (850) 312-9573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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