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Organization
MAGNOLIA MEDICAL COMPANY
Active
Organization
MAGNOLIA MEDICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE LAVOIE (PRACTICE MANAGER)
(303) 209-5115
Entity
Organization
Contact information
Practice address
10160 W 50TH AVE UNIT 4, WHEAT RIDGE, CO 80033-2339
(303) 209-5115
(720) 638-5562
Mailing address
PO BOX 29605, DEPT # 800927, PHOENIX, AZ 85038-9605
(303) 209-5115
(720) 638-5562
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
02/17/2026
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