Rebecca J Lietzow
FNP | Nurse Practitioner | 11+ years Exp
1540 Lake St S, Forest Lake
Minnesota, 55025-2628
651-464-7100
Rebecca J Lietzow is a Forest Lake, Minnesota based nurse practitioner with 11 years of experience in Nurse Practitioner. She completed her graduation in 2015. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Rebecca J Lietzow is 4164 for Adult Health in Minnesota. Her current practice location is 1540 Lake St S, Forest Lake. Patients can reach her at 651-464-7100 or can fax her at 651-241-1515. Rebecca J Lietzow is FNP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1538450630.
Rebecca J Lietzow has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Rebecca J Lietzow speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Rebecca J Lietzow |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP |
| Experience: | 11+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2015 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1540 Lake St S, Forest Lake,
Minnesota, 55025-2628 |
| Phone: | 651-464-7100 |
| Fax: | 651-241-1515 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4688974397 |
| Enrollment ID: | I20190520002119 |
| NPI Number: | 1538450630 |
| NPI Enumeration Date: | 22 Apr, 2011 |
| NPI Last Update On: | 08 Dec, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rebecca J Lietzow are as mentioned below.
| License Number | Specialization | State | Status | |
| 4164 | Adult Health | Minnesota | Primary | |
| 141323 | Registered Nurse | Wisconsin | Secondary | |
| R-168269-2 | Registered Nurse | Minnesota | Secondary | |
| 6572 | Family | Wisconsin | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (521337) | Saint croix falls, WI | Critical Access Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Rebecca J Lietzow is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| St. Croix Regional Medical Center (9335032184) | 173 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Rebecca J Lietzow
2925 Chicago Ave,
Minneapolis, Minnesota |
| Zip: | 55407-1321 |
| Phone Number: | 612-262-7374 |
Patients can reach Rebecca J Lietzow at
1540 Lake St S, Forest Lake, Minnesota or can
call to book an appointment on 651-464-7100.
Comments/ Reviews:
Patients can read all the reviews posted for Rebecca J Lietzow below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Rebecca J Lietzow. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.