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Organization

LAFONDRAS MAGIC PALM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAFONDRA MARTIN (CRANIAL PROSTHESIS SPECIALIST)
(716) 849-0315
Entity
Organization

Contact information

Practice address
385 PINERIDGE RD, CHEEKTOWAGA, NY 14225
(716) 849-0315
Mailing address
385 PINERIDGE RD, CHEEKTOWAGA, NY 14225
(716) 849-0315

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Enumeration date
06/23/2025
Last updated
06/23/2025
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