Search › Minnesota › 363LA2200X
Rebecca Lietzow, FNP
NPI 1538450630 · on the registry since 2011
Practice
- Address
- 1540 Lake St S
Forest Lake, MN 55025 - Phone
- (651) 464-7100
- Fax
- (651) 241-1515
- Organisation at this address
- Allina Health System
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 32
Additional practice sites
- 235 E State St, Saint Croix Falls, WI
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 163W00000X
163WC0200X
363LF0000X - Licence states on file
- WI, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-08
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 Minnesota