DR. Mary Louise Lane-Carlson, EDD, MPH, RD, CDE

NPI #1508119140 in La Mirada, California

Provider Information

NPI Number: 1508119140
Entity Type: Individual
Name: DR. Mary Louise Lane-Carlson, EDD, MPH, RD, CDE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: EDD, MPH, RD, CDE
Enumeration Date: Oct 19, 2012
Last Updated: Oct 19, 2012

Practice Location

Address: 16132 CRESTLINE DR
City: La Mirada
State: California
ZIP Code: 90638-3458
Phone: (562) 947-5860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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