Individual provider · Type 1 NPI
Jennifer Lietzau, NP
Adult Health Nurse Practitioner · La Crosse, WI
NPI number
1649403395
Active
Practice location
1836 South Ave
La Crosse, WI 54601-5429
Mailing address
208 Elm St
Strum, WI 54770-7905
Other practice locations
- 208 Elm St, Strum, WI 54770-7905 · (715) 695-3140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | 4742-026 (WI) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 11673 (WI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1649403395
Jennifer Lietzau, NP's National Provider Identifier is 1649403395, issued on Aug 28, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in La Crosse, WI. The record was last updated on Sep 11, 2026.