Individual
ALEXANDER JAMES LIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3314 PATRIOT CT, HERRIN, IL 62948-3782
(618) 993-1591
(618) 351-5631
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036170520
IL
Other
Enumeration date
03/19/2019
Last updated
04/29/2026
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