Organization · Type 2 NPI

Magnolia Medical, LLC

Prosthetic/Orthotic Supplier · Lafayette, LA

NPI number 1174094304 Active

Practice location

626 Verot School Rd Ste C
Lafayette, LA 70508-5094

Call (337) 210-2060 Map

Fax (888) 544-6008

Mailing address

5412 Dijon Dr
Baton Rouge, LA 70808-4315

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1174094304

Magnolia Medical, LLC's National Provider Identifier is 1174094304, issued on Dec 16, 2018. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Lafayette, LA. The record was last updated on Dec 16, 2018.