Individual provider · Type 1 NPI

Maryanna Staerk, MBA, LDN

Registered Dietitian · Lake Forest, CA

NPI number 1174759104 Active · reactivated Feb 23, 2023

Practice location

24531 Via Tonada
Lake Forest, CA 92630-2027

Mailing address

PO Box 5
Kintnersville, PA 18930-0005

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XDN008520 (PA)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1174759104

Maryanna Staerk, MBA, LDN's National Provider Identifier is 1174759104, issued on Jun 4, 2009. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Lake Forest, CA. The record was last updated on Sep 12, 2025.