Lietzau, Kristin K.

Lietzau, Kristin K. is an individual health care provider with primary practice located at Beloit Clinic 1905 E. Huebbe Parkway, Beloit WI 53511-1842. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lietzau, Kristin K. can be contacted via phone (608) 364-2230.

Contact Information

Primary practice address
Beloit Clinic 1905 E. Huebbe Parkway Beloit WI 53511-1842
Phone: (608) 364-2230
Fax: (608) 363-7394
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 085.007026 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-007026 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4671-23 Wisconsin

Profile Details

NPI number 1154883593
LBN Legal business name Lietzau, Kristin K.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2019
Last updated May 28th, 2019 - about 6 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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