Provider Demographics
NPI:1962529628
Name:VOGEL, LOIS ANN (MSPTPCS)
Entity type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:ANN
Last Name:VOGEL
Suffix:
Gender:F
Credentials:MSPTPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46060 248TH ST
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:SD
Mailing Address - Zip Code:57018-5160
Mailing Address - Country:US
Mailing Address - Phone:605-446-3732
Mailing Address - Fax:
Practice Address - Street 1:2501 W 26TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-2446
Practice Address - Country:US
Practice Address - Phone:605-782-2320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0390225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD34222OtherSVHP
SDPT 0390OtherDAKOTA CARE
SD5832270Medicaid