Individual
MS. LELLIETH KEIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
19 OLD KINGS HWY S STE 200, DARIEN, CT 06820-4532
(203) 952-3534
(203) 803-4697
Mailing address
14 FERRIS AVE APT 10, NORWALK, CT 06854-1538
(203) 952-9715
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
965780
CT
Other
Enumeration date
02/06/2012
Last updated
09/15/2025
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