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Organization
MAGNOLIA MEDICAL COMPANY
Active
Organization
MAGNOLIA MEDICAL COMPANY
Active
Other names
Magnolia Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE LAVOIE (DIRECTOR OF OPERATION)
(303) 945-1155
Entity
Organization
Contact information
Practice address
2925 E COLFAX AVE, DENVER, CO 80206-1604
(303) 209-5115
Mailing address
PO BOX 29605, DEPT # 880927, PHOENIX, AZ 85038-9605
(303) 209-5115
(720) 638-5562
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
05/11/2020
Last updated
07/16/2026
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