# EMMA LAUREN LIETZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1942948120
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 0110008741 | VA | Yes |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 05/26/2022
- **Last updated:** 05/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30017491380002 | — | VA |