Individual
CATHERINE ANNE LIETZOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 703-8302
Mailing address
2123 BENTLEY MANOR DR, FENTON, MO 63026-2107
(314) 703-8302
(314) 703-8302
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001028669
MO
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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