Healthcare Provider Details

I. General information

NPI: 1497075634
Provider Name (Legal Business Name): LANETTE J MCQUITTY CPM, LM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2010
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 N 108TH PL STE 100
WAUWATOSA WI
53226-4253
US

IV. Provider business mailing address

2821 S FRANKLIN CT
NEW BERLIN WI
53151-3854
US

V. Phone/Fax

Practice location:
  • Phone: 414-231-9640
  • Fax: 414-226-5078
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number50-049
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: