Individual
MS. ELIZABETH ROSE TOOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 CHILDRENS PL, DIV PED GENETICS AND GENOMIC MED, SAINT LOUIS, MO 63110-1002
(314) 454-6093
(844) 965-9624
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-6093
(844) 965-9624
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2010010774
MO
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
2010010774
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350122288
—
MO
Enumeration date
01/25/2017
Last updated
04/17/2025
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