Provider Demographics
NPI:1326140997
Name:VOGEL, JOYCE LAUDADIO (CPM LM)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:LAUDADIO
Last Name:VOGEL
Suffix:
Gender:F
Credentials:CPM LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 N CENTRAL RD
Mailing Address - Street 2:
Mailing Address - City:LIBBY
Mailing Address - State:MT
Mailing Address - Zip Code:59923-8913
Mailing Address - Country:US
Mailing Address - Phone:406-291-3292
Mailing Address - Fax:406-293-4253
Practice Address - Street 1:529 N CENTRAL RD
Practice Address - Street 2:
Practice Address - City:LIBBY
Practice Address - State:MT
Practice Address - Zip Code:59923-8913
Practice Address - Country:US
Practice Address - Phone:406-291-3292
Practice Address - Fax:406-293-4253
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133NN1002X, 174N00000X
MT36175M00000X, 176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwife
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty
No175M00000XOther Service ProvidersMidwife, LayGroup - Single Specialty