Lietzke, Audrey G
Lietzke, Audrey G is an individual health care provider with primary practice located at 1600 Sutter Pl , Clovis NM 88101-4611. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Lietzke, Audrey G can be contacted via phone (575) 769-4490.Contact Information
Primary practice address
1600 Sutter Pl
Clovis NM 88101-4611
Phone: (575) 769-4490
Fax: (575) 769-4430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | 1116422 | Kentucky |
Profile Details
| NPI number | 1467051060 |
|---|---|
| LBN Legal business name | Lietzke, Audrey G |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2020 |
| Last updated | Oct 23rd, 2020 - about 5 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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