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Lista M. Dallis

Family NP · Tahlequah, OK

UnclaimedNPI 1104468610
Primary taxonomy
363LF0000X
Enumerated
2019-10-16
Practice location
Tahlequah, OK
Last NPPES update
2022-02-17

State licenses

  • OK · Nurse practitioner · NPPES self-reportedListed on NPI record

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.