Individual
DUSTIN LEE LAFOLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2316 SOUTH ST, LAFAYETTE, IN 47904-2971
(765) 742-1567
Mailing address
2485 DIRECTORS ROW STE D, INDIANAPOLIS, IN 46241-4907
(317) 941-7338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
71014507A
IN
363LF0000X
Family Nurse Practitioner
Primary
28209390A
IN
Other
Enumeration date
10/06/2023
Last updated
06/05/2025
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