Organization
KATELYN LIEB ND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATELYN J LIEB ND (OWNER)
(845) 238-1335
Entity
Organization
Contact information
Practice address
47 OAK ST STE 290, STAMFORD, CT 06905-5320
(203) 703-9033
(475) 268-1002
Mailing address
229 BRANFORD RD UNIT 412, NORTH BRANFORD, CT 06471-1316
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013519719
OTHER
CT
Enumeration date
01/07/2021
Last updated
08/06/2022
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