MEDICARE: DR. JANICE A LITZA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	41368	WI
2	207Q00000X	Family Medicine Physician	036-116704	IL

General Provider Information

NPI Number	:	1669422093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANICE A LITZA MD

Provider Business Mailing Address
First Line	:	10340 WASHINGTON AVE
Second Line	:
City	:	STURTEVANT
State	:	WI
Zip	:	53177-1607
Country	:	US
Telephone Number	:	262-687-7500
Fax Number	:	262-687-7501

Provider Business Practice Location Address
First Line	:	10340 WASHINGTON AVE
Second Line	:
City	:	STURTEVANT
State	:	WI
Zip	:	53177-1607
Country	:	US
Telephone Number	:	262-687-7500
Fax Number	:	262-687-7501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	09/21/2015

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Directions to “ DR. JANICE A LITZA MD” Practice Location

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