MEDICARE: MRS. LAURA C. VOGLER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA7756	MA
2	363A00000X	Physician Assistant		CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023412608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA C. VOGLER PA-C

Provider Business Mailing Address
First Line	:	235 WOODLAND N
Second Line	:
City	:	LYNN
State	:	MA
Zip	:	01904-1414
Country	:	US
Telephone Number	:	781-715-9962
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 CHESTNUT HILL AVE
Second Line	:
City	:	BRIGHTON
State	:	MA
Zip	:	02135-4731
Country	:	US
Telephone Number	:	857-299-0371
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2014
Last Update Date	:	10/27/2025

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