Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maryanna Staerk, MBA, LDN

Individual provider Registered Dietitian · NPI 1174759104

Maryanna Staerk, MBA, LDN is a Registered Dietitian in Lake Forest, California. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2009
What do these letters mean?
MBA — Master of Business Administration
A graduate business degree.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

24531 Via Tonada
Lake Forest, CA 92630-2027
Phone: (949) 690-9132
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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 DN008520 (PA)

Record details

NPI number1174759104
Entity typeIndividual (Type 1)
GenderFemale
Credentials MBA , LDN
Sole proprietorYes
NPI enumeratedJune 4, 2009
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

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