Matt John Lafountain, CHW

NPI #1194503169 in Marquette, Michigan

Provider Information

NPI Number: 1194503169
Entity Type: Individual
Name: Matt John Lafountain, CHW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: CHW
Enumeration Date: Sep 20, 2023
Last Updated: Sep 20, 2023

Practice Location

Address: 1414 W FAIR AVE STE 249
City: Marquette
State: Michigan
ZIP Code: 49855-5406
Phone: (906) 449-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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