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CAROL L LIETZAU M.D.
NPI 1407853211
Family Medicine in Montevideo, MN

Active since July 07, 2005
824 N 11TH ST, MONTEVIDEO, MN 56265(320) 269-6435(320) 269-4494 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carol L Lietzau M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROL L LIETZAU M.D. (NPI 1407853211) is an individual family medicine provider in Montevideo, Minnesota, licensed in Minnesota (22399) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1407853211
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCAROL L LIETZAUCredential: M.D.
Location Address824 N 11TH STMontevideo, MN 56265-1629
Mailing Address824 N 11th StMontevideo, MN 56265-1629 · (320) 269-6435 · Fax (320) 269-4494
Phone(320) 269-6435
Fax(320) 269-4494
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateJune 10, 2008
✔ NPI 1407853211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 22399
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
824 N 11TH ST, Montevideo, MN 56265
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Other Names 1

Former Name (1)Carol L. Johansen

Other Identifiers 3

Medicare UPIND48763
Medicaid716792000MN
Medicare PIN80013778MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA MARIE SANDVEN CHW
Community Health Worker
824 N 11TH ST
MONTEVIDEO, MN 56265
Chippewa County (320) 321-8147
DR. BRUCE WESLEY ARVOLD M.D.
Family Medicine
824 N 11TH ST
MONTEVIDEO, MN 56265
Chippewa County (320) 269-8877
JERRY DURFEE CRNA
Nurse Anesthetist, Certified Registered
824 N 11TH ST
MONTEVIDEO, MN 56265
Chippewa County (952) 442-9770
SHAYNA MARIE LOVDAHL PA-C
Physician Assistant
824 N 11TH ST
MONTEVIDEO, MN 56265
Chippewa County (320) 321-8422
GRETCHEN A REEVES MA, SLP-CCC
Speech-Language Pathologist
824 N 11TH ST
MONTEVIDEO, MN 56265
Chippewa County (320) 269-8877
MARCIE SCHMIESING FNP
Nurse Practitioner (Family)
824 N 11TH ST
MONTEVIDEO, MN 56265
Chippewa County (320) 269-8877
MISS SHEENA KAY DAUER DPT
Physical Therapist
824 N 11TH ST
MONTEVIDEO, MN 56265
Chippewa County (320) 269-8877
KELLY DAWN DEGROTE BSN, RN, PED-BC, CDC
Registered Nurse (Diabetes Educator)
824 N 11TH ST
MONTEVIDEO, MN 56265
Chippewa County (320) 269-8877

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Lietzau's NPI number?

The NPI number for Carol Lietzau is 1407853211. It was assigned to this individual provider in the NPPES registry on July 7, 2005. The provider is also known as Carol L. Johansen.

Where is Carol Lietzau located?

Carol Lietzau practices at 824 N 11th St, Montevideo, MN 56265. The listed phone number is (320) 269-6435.

What is Carol Lietzau's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Carol Lietzau was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.