Jeffrey K Lystad in Fargo - Sports Medicine
Jeffrey K Lystad - NPI 1710904487
Jeffrey K Lystad is a Sports Medicine in Fargo, North Dakota. Jeffrey K Lystad practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jeffrey K Lystad is 1710904487. The last update date is 2011-11-29.
Jeffrey K Lystad's current location address is 2301 25th St S, Fargo, North Dakota. You can contact this provider via phone number 7012379712. The mailing address for Jeffrey K Lystad is 2301 25th St S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey K Lystad |
|---|---|
| Address | 2301 25th St S, Fargo, North Dakota |
| Phone Number | 7012379712 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710904487 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2011-11-29 |
Provider Mailing Address Detail
| Address | 2301 25th St S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581036104 |
| Phone Number | 7012379712 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 7448 |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
|
Post Comment/ Review Below
What is the unique identification code assigned to Jeffrey K Lystad by the Centers for Medicare & Medicaid Services?
The Jeffrey K Lystad has been issued the NPI (National Provider Identifier) 1710904487. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jeffrey K Lystad?
The Jeffrey K Lystad is physically situated at 2301 25Th St S, in the city of Fargo, state of ND, with the postal code 581036104.
What is the Jeffrey K Lystad's specialty and taxonomy code?
The Jeffrey K Lystad's specialty is Sports Medicine, and the corresponding taxonomy code is 207Qs0010X.
When was the Jeffrey K Lystad's 1710904487 issued?
The Jeffrey K Lystad's 1710904487 was issued on 2006-07-17.
As of what date were the details related to Jeffrey K Lystad most recently updated or revised?
The information pertaining to Jeffrey K Lystad, including its address, specialty, and other relevant details, was last updated or revised on 2011-11-29.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA