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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARY LOUISE LANE-CARLSON, EDD, MPH, RD, CDE

Active Sole Proprietor

DR. MARY LOUISE LANE-CARLSON, EDD, MPH, RD, CDE is a Registered Dietitian healthcare provider located in LA MIRADA, California. NPI 1508119140 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · LA MIRADA, CA

Registration Details

NPI Number
1508119140
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2012 (13.7983047034 yrs)
Last Updated
Oct 19, 2012
License
R615454 (CA)
Sole Proprietor
Yes

Practice Information

Address
16132 CRESTLINE DR
LA MIRADA, CA, 906383458
Browse CA providers · Browse ZIP 90638
Phone
5629475860
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in LA MIRADA, CA

Name Credential NPI
MRS. ADITI J SHAH RD 1356545123
MRS. SARAH HALL RD, IBCLC 1184930679
KYLA BAUM RDN 1730503053
JOSEPH JOSHUA BARTOLONE RD 1760039283
JADE CORINNE TAMYO RD 1750988853
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.