Lista Marie Dallis
NPI #1104468610 in Tahlequah, Oklahoma
Provider Information
- NPI Number
- 1104468610
- Entity Type
- Individual
- Name
- Lista Marie Dallis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 16, 2019
- Last Updated
- Feb 17, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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