# MAGNOLIA MEDICAL COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114549367
- **Authorized official:** VALERIE LAVOIE (DIRECTOR OF OPERATION)
- **Authorized official phone:** (303) 945-1155

## Contact information

- **Practice address:** 2925 E COLFAX AVE, DENVER, CO 80206-1604
- **Practice address phone:** (303) 209-5115
- **Mailing address:** PO BOX 29605, DEPT \# 880927, PHOENIX, AZ 85038-9605
- **Mailing address phone:** (303) 209-5115
- **Mailing address fax:** (720) 638-5562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 05/11/2020
- **Last updated:** 07/16/2026