Individual
MRS. ELIZABETH J VANDER LAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
913 E 26TH ST STE 401, MR 39401, MINNEAPOLIS, MN 55404-4515
(612) 863-7622
(612) 863-8900
Mailing address
9847 YALTA ST NE, CIRCLE PINES, MN 55014-2511
(763) 783-7321
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3329
MN
Other
Enumeration date
09/21/2015
Last updated
03/11/2021
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