Individual provider · Type 1 NPI

Kristin K. Lietzau, PA

Physician Assistant · Beloit, WI

NPI number 1154883593 Active

Practice location

Beloit Clinic, 1905 E. Huebbe Parkway
Beloit, WI 53511-1842

Call (608) 364-2230 Map

Fax (608) 363-7394

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X085.007026 (IL)
Physician Assistant 363A00000X085-007026 (IL)
Physician Assistant Primary 363A00000X4671-23 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1154883593

Kristin K. Lietzau, PA's National Provider Identifier is 1154883593, issued on Apr 4, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Beloit, WI. The record was last updated on May 28, 2019.