Provider Demographics
NPI:1760622534
Name:VOGELHUT, ALINA KARINE (LM)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:KARINE
Last Name:VOGELHUT
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2624 FAIRWAY DRIVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1803
Mailing Address - Country:US
Mailing Address - Phone:225-267-7736
Mailing Address - Fax:
Practice Address - Street 1:2624 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1803
Practice Address - Country:US
Practice Address - Phone:225-267-7736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW222176B00000X
LA200005176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY140JOtherBCBS