Provider Demographics
NPI:1780866970
Name:VOGEL, LANETTE FAE (PT)
Entity Type:Individual
Prefix:MRS
First Name:LANETTE
Middle Name:FAE
Last Name:VOGEL
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:1262 BERGEN PKWY
Mailing Address - Street 2:SUITE E10
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-9546
Mailing Address - Country:US
Mailing Address - Phone:303-674-7889
Mailing Address - Fax:303-674-8117
Practice Address - Street 1:1262 BERGEN PKWY
Practice Address - Street 2:SUITE E10
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-9546
Practice Address - Country:US
Practice Address - Phone:303-674-7889
Practice Address - Fax:303-674-8117
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2024-04-20
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Provider Licenses
StateLicense IDTaxonomies
CO38262251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic