Individual
MRS. LANA MARIE KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
100 MEDICAL PLZ, SUITE 1203, LAKE ST LOUIS, MO 63367-1366
(636) 625-5424
(636) 625-5431
Mailing address
18 AUVERGNE DR, LAKE ST LOUIS, MO 63367-2030
(636) 561-3179
(636) 561-3179
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
2000175751
MO
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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