Individual
COLIN LAFFOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 353-5252
Mailing address
3809 S SARE RD APT 305, BLOOMINGTON, IN 47401-4183
(270) 875-2101
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
71010120A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71010120A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300040445
—
IN
01
—
Q00653397
RAILROAD PTAN
IN
Enumeration date
05/29/2020
Last updated
12/28/2025
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