Individual
MRS. CARLA LEWISE VAN LANGEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS RD LD
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5876
(515) 699-5999
Mailing address
850 S 16TH ST, ADEL, IA 50003-1975
(515) 699-5999
(641) 842-5125
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01224
IA
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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