Lietzau, Jennifer

Lietzau, Jennifer is an sole proprietor health care provider with primary practice located at 1836 South Ave , La Crosse WI 54601-5429. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Lietzau, Jennifer can be contacted via phone (608) 782-7300.

Contact Information

Primary practice address
1836 South Ave La Crosse WI 54601-5429
Phone: (608) 782-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 4742-026 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 11673 Wisconsin

Profile Details

NPI number 1649403395
LBN Legal business name Lietzau, Jennifer
Credentials DNP, APRN, AGACNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2009
Last updated Feb 7th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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