Back to Search
REBECCA LIETZOW, FNP
FNP
Adult Health Nurse Practitioner
NPI: 1538450630IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
141323(WI)
Critical Care Medicine Registered Nurse
Registered Nurse — Critical Care Medicine
Code: 163WC0200X
R-168269-2(MN)
Adult Health Nurse PractitionerPrimary
Nurse Practitioner — Adult Health
Code: 363LA2200X
4164(MN)
Family Nurse Practitioner
Nurse Practitioner — Family
Code: 363LF0000X
6572(WI)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2015
Contact & Hours
Via practice · 2 locations total
- Address
- 1540 LAKE ST S
FOREST LAKE, MN 55025 - Phone
- (651) 464-7100
Quick Facts
- NPI
- 1538450630
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 4
- Locations
- 2
- Years in Practice
- 11
Are you this provider?
Claim Your Profile