LAFONDRAS MAGIC PALM NPI 1548157407

NPI Information

  • NPI: 1548157407
  • Provider Name: LAFONDRAS MAGIC PALM
  • Classification: Specialist - 1744P3200X
  • Specialization: Prosthetics Case Management
  • Entity Type: Organization
  • Address: 385 PINERIDGE RD
    CHEEKTOWAGA, NY
    ZIP 14225
  • Phone: (716) 849-0315

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NPI Details

LAFONDRAS MAGIC PALM is a prosthetics case management specialist in Cheektowaga, NY. The provider is Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics. LAFONDRAS MAGIC PALM NPI is 1548157407. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

385 PINERIDGE RD
CHEEKTOWAGA, NY
ZIP 14225
Phone: (716) 849-0315

The provider's authorized official is Lafondra Martin .
The authorized official title is Cranial Prosthesis Specialist and has the following contact phone number (716) 849-0315.

The enumeration date for this NPI number is 6/23/2025 and was last updated on 6/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11744P3200XSpecialistProsthetics Case ManagementYes

What is NPI?

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This page was last updated on: 11/21/2025

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