Individual
MATT JOHN LAFOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
1414 W FAIR AVE STE 249, MARQUETTE, MI 49855-5406
(906) 449-2900
(906) 449-2945
Mailing address
1740 GLENDORA LN, ISHPEMING, MI 49849-2719
(906) 204-0022
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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