MEDICARE: MARIE S LIETZKE RN

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	163W00000X	Registered Nurse	773969	CA
2	163WP0808X	Psychiatric/Mental Health Registered Nurse	773969	CA

General Provider Information

NPI Number	:	1841605714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE S LIETZKE RN

Provider Business Mailing Address
First Line	:	12200 MONTECITO RD APT D101
Second Line	:
City	:	SEAL BEACH
State	:	CA
Zip	:	90740-2646
Country	:	US
Telephone Number	:	951-212-0094
Fax Number	:

Provider Business Practice Location Address
First Line	:	5419 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5691
Country	:	US
Telephone Number	:	323-769-6100
Fax Number	:

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

Provider Enumeration Date	:	06/30/2014
Last Update Date	:	11/20/2025

Similar Medicare Providers

1639108319 — CAROLYN LIBAO KANEKO L.C.S.W.
Practice Location Address:

5419 W SUNSET BLVD
LOS ANGELES, CA
90027-5691

Practice Phone: 323-769-6100
Practice Fax:

1932120060 — DR. ALISA ANNE SABSHIN MD
Practice Location Address:

5419 W SUNSET BLVD
LOS ANGELES, CA
90027-5691

Practice Phone: 323-796-6100
Practice Fax: 323-467-2647

1154576155 — CLEARVIEW VISION
Practice Location Address:

5419 W SUNSET BLVD
LOS ANGELES, CA
90027-5691

Practice Phone: 323-871-1234
Practice Fax: 323-871-1233

1346471372 — ALL DAY HEALTHCARE INC
Practice Location Address:

5419 W SUNSET BLVD , SUITE B
LOS ANGELES, CA
90027-5691

Practice Phone: 323-993-9400
Practice Fax: 323-993-9410

1780926550 — PANACEA GROUP, INC.
Practice Location Address:

5419 W SUNSET BLVD STE 235
LOS ANGELES, CA
90027-5691

Practice Phone: 818-548-4906
Practice Fax: 818-548-5749

1093392615 — KEENAN BLAKE WITHERS
Practice Location Address:

5419 W SUNSET BLVD
LOS ANGELES, CA
90027-5691

Practice Phone: 323-769-6100
Practice Fax:

Directions to “ MARIE S LIETZKE RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.