MRS. Diane M. Lietz, APRN FNP-C
NPI #1740522101 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1740522101
- Entity Type
- Individual
- Name
- MRS. Diane M. Lietz, APRN FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- APRN FNP-C
- Enumeration Date
- Mar 25, 2013
- Last Updated
- Mar 25, 2013
Practice Location
- Address
- 800 W STATE ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-2290
- Phone
- (217) 243-2292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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