Jeffrey K Lystad, MD
NPI #1710904487 in Fargo, North Dakota
Provider Information
- NPI Number
- 1710904487
- Entity Type
- Individual
- Name
- Jeffrey K Lystad, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine - Sports Medicine
- Credential
- MD
- Enumeration Date
- Jul 17, 2006
- Last Updated
- Nov 29, 2011
Practice Location
- Address
- 2301 25TH ST S
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-6104
- Phone
- (701) 237-9712
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
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