Individual
DEBRA KIM LIETZKE
Active
Individual
DEBRA KIM LIETZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
2021007033
MO
363LF0000X
Family Nurse Practitioner
Primary
2021007033
MO
363LF0000X
Family Nurse Practitioner
53-79707-031
KS
Other
Enumeration date
10/19/2020
Last updated
09/01/2026
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