Individual
CHRISTOPHER P LAFOLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
995 S CLARIZZ BLVD, BLOOMINGTON, IN 47401
(812) 353-3060
(812) 353-3070
Mailing address
995 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5588
(812) 353-3060
(812) 353-3070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01062447A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200830830
—
IN
Enumeration date
08/20/2006
Last updated
02/06/2019
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