Search › California › 133V00000X
Mary Lane-Carlson, EDD, MPH, RD, CDE
NPI 1508119140 · on the registry since 2012 · sole proprietor
Practice
- Address
- 16132 Crestline Dr
La Mirada, CA 90638 - Phone
- (562) 947-5860
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-10-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California