Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey K Lystad, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1710904487

Jeffrey K Lystad, MD is a Sports Medicine (Family Medicine) Physician in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2006.

Licensed in
ND
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2301 25th St S
Fargo, ND 58103-6104
Phone: (701) 237-9712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 7448 (ND)

Record details

NPI number1710904487
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESNovember 29, 2011
Mailing address2301 25th St S, Fargo, ND 58103-6104

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