Mary Louise Lane-Carlson, EDD, MPH, RD, CDE
NPI 1508119140ActiveIndividual· Dietitian, Registered· La Mirada, CA
Dietitian, Registered (EDD, MPH, RD, CDE) in La Mirada, California, licensed in CA, with an NPI issued in October 2012.
Overview
| NPI | 1508119140 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | EDD, MPH, RD, CDE |
| Sole proprietor | Yes |
| NPI issued | Oct 19, 2012 |
| Last updated in NPPES | Oct 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | R615454 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dietitian, Registered providers in La Mirada
- 1629514328
- 1730888603
- 1760039283
- 1730503053
- 1629987466
- 1184930679
- 1356545123
- 1750988853