Search › Wisconsin › 363A00000X
Kristin Lietzau, PA
NPI 1154883593 · on the registry since 2019
Practice
- Address
- Beloit Clinic
1905 E. Huebbe Parkway
Beloit, WI 53511 - Phone
- (608) 364-2230
- Fax
- (608) 363-7394
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 207XX0005X
363A00000X - Licence states on file
- IL, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin