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Contact Information

KATHERINE LIETZ, MD PHD
9981 S HEALTHPARK DR
FORT MYERS, FL33908-3618
 Phone: 239-343-5820
 Fax: 239-343-4098
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Heart Failure & Transplant Cardiology

207RA0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KATHERINE LIETZ · (Female)

NPI Number 1194864157
Status Active
Credentials MD PHD
Entity Individual
Enumeration date 02/06/2007
Last updated 01/02/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME166042
  • IL License # 127613
  • VA License # 0101252774
  • FL Medicaid 1194864157
Hospital affiliation(s)
  • BON SECOURS - MEMORIAL REGIONAL MEDICAL - (Acute Care)
    8260 ATLEE ROAD
    MECHANICSVILLE, VA 23116
  • BON SECOURS - ST FRANCIS MEDICAL CENTER - (Acute Care)
    13700 ST FRANCIS BLVD, SUITE 100
    MIDLOTHIAN, VA 23114
  • BON SECOURS - ST MARYS HOSPITAL OF RICHMOND - (Acute Care)
    5801 BREMO RD
    RICHMOND, VA 23226
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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