Healthcare Provider Details

I. General information

NPI: 1912840323
Provider Name (Legal Business Name): STEPHNIE MARIE LAFOUNTAIN CPM, LM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7578 S 75TH ST
FRANKLIN WI
53132-9757
US

IV. Provider business mailing address

7578 S 75TH ST
FRANKLIN WI
53132-9757
US

V. Phone/Fax

Practice location:
  • Phone: 414-202-7506
  • Fax:
Mailing address:
  • Phone: 414-202-7506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number581-49
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: