Kristin K. Lietzau, PA

NPI #1154883593 in Beloit, Wisconsin

Provider Information

NPI Number: 1154883593
Entity Type: Individual
Name: Kristin K. Lietzau, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery - Sports Medicine
Credential: PA
Enumeration Date: Apr 4, 2019
Last Updated: May 28, 2019

Practice Location

Address: BELOIT CLINIC
Address 2: 1905 E. HUEBBE PARKWAY
City: Beloit
State: Wisconsin
ZIP Code: 53511-1842
Phone: (608) 364-2230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Sports Medicine — Sports Medicine	207XX0005X	Primary
Physician Assistant	363A00000X

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Organizations

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