Healthcare Provider Details

I. General information

NPI: 1326140997
Provider Name (Legal Business Name): JOYCE LAUDADIO VOGEL CPM LM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 N CENTRAL RD
LIBBY MT
59923-8913
US

IV. Provider business mailing address

529 N CENTRAL RD
LIBBY MT
59923-8913
US

V. Phone/Fax

Practice location:
  • Phone: 406-291-3292
  • Fax: 406-293-4253
Mailing address:
  • Phone: 406-291-3292
  • Fax: 406-293-4253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number36
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: