Kruse, Lana Marie

Kruse, Lana Marie is an individual health care provider with primary practice located at 100 Medical Plz Suite 1203, Lake St Louis MO 63367-1366. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Kruse, Lana Marie can be contacted via phone (636) 625-5424.

Contact Information

Primary practice address
100 Medical Plz Suite 1203 Lake St Louis MO 63367-1366
Phone: (636) 625-5424
Fax: (636) 625-5431
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 2000175751 Missouri

Profile Details

NPI number 1407121312
LBN Legal business name Kruse, Lana Marie
Credentials RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2012
Last updated Mar 12th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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