Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mary Louise Lane-Carlson, EDD, MPH, RD, CDE

Individual provider Registered Dietitian · NPI 1508119140

Dr. Mary Louise Lane-Carlson, EDD, MPH, RD, CDE is a Registered Dietitian in LA Mirada, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.
MPH — Master of Public Health
A graduate degree in population health.
RD — Registered Dietitian
A credentialed nutrition professional.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

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Practice location Address checks out

16132 Crestline Dr
LA Mirada, CA 90638-3458
Phone: (562) 947-5860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence R615454 (CA)

Record details

NPI number1508119140
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDD , MPH , RD , CDE
Sole proprietorYes
NPI enumeratedOctober 19, 2012
Last updated in NPPESOctober 19, 2012

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