Patricia Ann Lietzow, is a
Speech-language Pathologist based in Posen, Illinois. Patricia Ann Lietzow is licensed to practice in Indiana (license number 1547614) and her current practice location is
14011 S Harrison Ave, Posen, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 772-0425.
NPI number for Patricia Ann Lietzow is 1730050600 and her current mailing address is 14011 S Harrison Ave, Posen, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730050600.
Healthcare Provider's Profile
| Full Name | Patricia Ann Lietzow |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 14011 S Harrison Ave, Posen, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730050600
- Provider Enumeration Date: 09/15/2025
- Last Update Date: 09/15/2025
Medical Identifiers
Medical identifiers for Patricia Ann Lietzow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730050600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 1386745 (Florida) | Secondary |
| 235Z00000X | Speech-language Pathologist | 1547614 (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patricia Ann Lietzow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Patricia Ann Lietzow, 14011 S Harrison Ave, Posen, IL 60469-1025 Ph: (708) 772-0425 | Patricia Ann Lietzow, 14011 S Harrison Ave, Posen, IL 60469-1025 Ph: (708) 772-0425 |
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