person
Mrs. Diane M. Lietz, APRNFNP-C
Family Nurse Practitioner in Jacksonville, Illinois
NPI 1740522101

Diane M. Lietz is a Family Nurse Practitioner based in Winchester, IL and is specialized in Family. Diane M. Lietz practices in Jacksonville, IL and has the professional credentials of APRNFNP-C. The NPI Number for Diane M. Lietz is 1740522101 and holds a License No. 209010294 (Illinois).

The current practice location address for Diane M. Lietz is 800 W State St, Jacksonville, IL and can be reached out via phone at 217-243-2292 and via fax at 217-243-5359.

Location: 800 W State St, Jacksonville, IL, 62694-3628
person
Provider Profile Details
NPI Number
1740522101
Provider Name
Diane M. Lietz
Credential
APRNFNP-C
Provider Entity Type
Individual
Gender
Female
Address
800 W State St, Jacksonville, IL, 62694-3628
Phone Number
217-243-2292
Fax Number
217-243-5359
Provider Enumeration Date
03/25/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 W State St
City
State
Zip
62650-2290
Phone Number
217-243-2292
Fax Number
217-243-5359
person
Provider Business Mailing Address Details
Address
800 W State St
City
State
Zip
62650-2290
Phone Number
217-243-2292
Fax Number
217-243-5359
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209010294 (Illinois)
Definition
Definition to come...
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