Lietzau, Kathleen J
Lietzau, Kathleen J is an individual health care provider with primary practice located at 6950 146Th St W Suite 100, Apple Valley MN 55124-4513. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Lietzau, Kathleen J can be contacted via phone (952) 432-1484.Contact Information
Primary practice address
6950 146Th St W Suite 100
Apple Valley MN 55124-4513
Phone: (952) 432-1484
Fax: (952) 432-2328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | R94581-9 | Minnesota |
Profile Details
| NPI number | 1730164567 |
|---|---|
| LBN Legal business name | Lietzau, Kathleen J |
| Credentials | APCNS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Aug 14th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730164567 | NPPES |
| Minnesota | MEDICAID | 392143300 |
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