MARY LOUISE LANE-CARLSON

LA MIRADA, CA
NPI1508119140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  R615454)
Enumeration Date2012-10-19
Last Update Date2012-10-19
Business Address
Dr. MARY LOUISE LANE-CARLSON EdD, MPH, RD, CDE
16132 CRESTLINE DR
LA MIRADA, CA 90638-3458
Phone number: 562-947-5860
Mailing Address
Dr. MARY LOUISE LANE-CARLSON EdD, MPH, RD, CDE
16132 CRESTLINE DR
LA MIRADA, CA 90638-3458
Phone number: 562-947-5860