Lane-Carlson, Mary Louise
Lane-Carlson, Mary Louise is an sole proprietor health care provider with primary practice located at 16132 Crestline Dr , La Mirada CA 90638-3458. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Lane-Carlson, Mary Louise can be contacted via phone (562) 947-5860.Contact Information
Primary practice address
16132 Crestline Dr
La Mirada CA 90638-3458
Phone: (562) 947-5860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | R615454 | California |
Profile Details
| NPI number | 1508119140 |
|---|---|
| LBN Legal business name | Lane-Carlson, Mary Louise |
| Credentials | EDD, MPH, RD, CDE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2012 |
| Last updated | Oct 19th, 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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