Individual
MRS. KORI NICOLE LIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3801 N LAMAR BLVD, AUSTIN, TX 78756-4080
(512) 407-7000
Mailing address
3801 N LAMAR BLVD, AUSTIN, TX 78756-4080
(254) 231-7422
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1059049
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
1059049
TX
Other
Enumeration date
11/18/2021
Last updated
06/30/2022
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