
About Rebecca J. Lietzow
She is located at 1540 Lake St S, , in Forest Lake, MN 55025. Appointment can be made via the phone number (651) 464-7100.
Rebecca J. Lietzow - Address, Phone & Website
1540 Lake St S, , Forest Lake, MN 55025
(651) 464-7100
Medical Specialties & Taxonomy codes
Primary | Specialty | Taxonomy Code |
---|---|---|
Yes | Adult Health Nurse Practitioner | 363LA2200X |
No | Registered Nurse | 163W00000X |
No | Critical Care Medicine Registered Nurse | 163WC0200X |
No | Family Nurse Practitioner | 363LF0000X |
Licenses
State | License Number |
---|---|
Minnesota | 4164 |
Wisconsin | 141323 |
Minnesota | R-168269-2 |
Wisconsin | 6572 |