# MARTIN J LAFOLLETTE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720399280
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 006138 | AZ | Yes |
| 207Q00000X | Family Medicine Physician | 05-40628 | KS | — |
| 207Q00000X | Family Medicine Physician | 10663123-1204 | UT | — |
| 207Q00000X | Family Medicine Physician | 10776 | SD | — |
| 207Q00000X | Family Medicine Physician | 13-321 | WI | — |
| 207Q00000X | Family Medicine Physician | 1772 | NE | — |
| 207Q00000X | Family Medicine Physician | 25516 | MS | — |
| 207Q00000X | Family Medicine Physician | 63228 | MN | — |
| 207Q00000X | Family Medicine Physician | CDR.0000063 | CO | — |
| 207Q00000X | Family Medicine Physician | CL0017 | NV | — |
| 207Q00000X | Family Medicine Physician | DO-05136 | IA | — |
| 207Q00000X | Family Medicine Physician | DO.1788 | AL | — |
| 207Q00000X | Family Medicine Physician | MED-PHYS-LIC-61129 | MT | — |
| 207Q00000X | Family Medicine Physician | OC-0010 | ID | — |
| 207Q00000X | Family Medicine Physician | OP60826527 | WA | — |

## Other

- **Enumeration date:** 06/29/2010
- **Last updated:** 10/23/2019