| Doctor Name: | MS. LISA ANN FENN |
| NPI Number: | 1124154851 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS RD LD |
| License Number: | 108 |
| Business Practice Address: | 3245 Hospital Dr Searhc Juneau, AK - 998017809 |
| Business Phone Number: | 9074634040 |
| Business Fax Number: | 9074634673 |
| Mailing Address: | 222 Tongass Drive, Searhc SITKA |
| State: | AK |
| Postal Code: | 99835 |
| Phone Number: | 9079662411 |
| Fax Number: | 9079668300 |
| NPI Enumeration Date: | 02/26/2007 |
| NPI Last Update Date: | 06/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 108 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| 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 |