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Individual

CHRISTI N LIETZAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-BC

Contact information

Practice address
601 JOHN ST, SUITE M460, KALAMAZOO, MI 49007-5341
(269) 341-7333
(269) 341-7371
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-7333
(269) 341-7371

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704248537
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003822412
BCBS - BMH
MI
05
1285932509
MI
Enumeration date
03/10/2011
Last updated
09/12/2025
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