| Doctor Name: | MRS. ELIZABETH J VANDER LAAN |
| NPI Number: | 1396114328 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, LD |
| License Number: | 3329 |
| Business Practice Address: | 913 E 26th St Ste 401 Mr 39401 Minneapolis, MN - 554044515 |
| Business Phone Number: | 6128637622 |
| Business Fax Number: | 6128638900 |
| Mailing Address: | 9847 Yalta St Ne, CIRCLE PINES |
| State: | MN |
| Postal Code: | 550142511 |
| Phone Number: | 7637837321 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2015 |
| NPI Last Update Date: | 09/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 3329 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |