Rebecca J Lietzow, FNP
Rebecca J Lietzow, FNP is a Nurse Practitioner in Forest Lake, Minnesota. Qualified in 2015, 11 years ago. Practices with Ladd Memorial Hospital, a 71-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.
- Years since qualifying
- 11
- Licensed in
- MN, WI
- In the registry since
- 2011
- Specialties on file
- 4
What do these letters mean?
- FNP — Family Nurse Practitioner
- A nurse practitioner who treats patients of all ages, much like a family doctor.
Practice location Address checks out
1540 Lake St SForest Lake, MN 55025-2628
Phone: (651) 464-7100
Fax: (651) 241-1515
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 235 E State St, Saint Croix Falls, WI 54024-4117 — (715) 483-3221
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 4164 (MN) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 141323 (WI) |
| Critical Care Medicine Registered Nurse | Taxonomy 163WC0200X · Licence R-168269-2 (MN) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 6572 (WI) |
Record details
| NPI number | 1538450630 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | FNP |
| Sole proprietor | No |
| NPI enumerated | April 22, 2011 |
| Last updated in NPPES | December 8, 2023 |
| Certification date | December 8, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Ladd Memorial Hospital — 71 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Forest Lake
-
Evygabs Healthcare Systems LLC
20604 Enfield Ave N, Forest Lake, MN 55025-8137 · (651) 492-8643
-
Margaret Heaton, RN
7511 170th Ave NE, Forest Lake, MN 55025-8806 · (651) 245-8805
-
Christine Trejo-Monson, LACRN
843 W Broadway Ave Ste A, Forest Lake, MN 55025-3773 · (612) 669-4313
-
Scott Zieglmeier, RN
8133 174th Ct NE, Forest Lake, MN 55025-2735 · (715) 383-3060