Lista Dallis, NP

NURSE PRACTITIONER

1500 E Downing St

Suite 214

Tahlequah, OK 744643379

(918) 431-0202

**NPI:** 1104468610

**Med School:** OTHER

**Experience:** 6 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (1)

NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC

1500 E Downing St, Suite 214
Tahlequah, OK 744643379

Phone: (918) 431-0202

**Group ID:** 3678482635 | **Group Size:** 32 members

NORTHEASTERN HEALTH SYSTEM Type: Hospital
1400 EAST DOWNING STREET
Phone: (918) 456-0641
Medicare CCN: 370089 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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