LISA ANN FENN

JUNEAU, AK
NPI1124154851
Former NameLISA ANN NICKLOW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: AK  108)
Enumeration Date2007-02-26
Last Update Date2009-06-26
Business Address
MS. LISA ANN FENN MS RD LD
3245 HOSPITAL DR SEARHC
JUNEAU, AK 99801-7809
Phone number: 907-463-4040
Mailing Address
MS. LISA ANN FENN MS RD LD
222 TONGASS DRIVE SEARHC
SITKA, AK 99835
Phone number: 907-966-2411
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