Provider Demographics
NPI:1497075634
Name:MCQUITTY, LANETTE J (CPM, LM)
Entity Type:Individual
Prefix:MRS
First Name:LANETTE
Middle Name:J
Last Name:MCQUITTY
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 N 108TH PLACE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226
Mailing Address - Country:US
Mailing Address - Phone:414-231-9640
Mailing Address - Fax:414-226-5078
Practice Address - Street 1:530 N 108TH PLACE
Practice Address - Street 2:SUITE 100
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226
Practice Address - Country:US
Practice Address - Phone:414-231-9640
Practice Address - Fax:414-226-5078
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-10
Last Update Date:2017-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI50-049176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife