Individual
MEGAN LISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5602 RUDDELL RD SE, LACEY, WA 98503-5163
(855) 801-0175
Mailing address
4007 JEFFERSON ST, SIOUX CITY, IA 51108-1440
(712) 870-3603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61492105
WA
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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