NPI 1033862362

Lisa Fenda Wallace, RD

Practitioner Registered Dietitian Naples, FL

Practice location

Address: 430 Willet Ave, Naples, FL 34108-2104
Phone: (216) 409-1727

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 11012 (FL)

Other Dietitian, Registered providers in Florida →

Registry record

NPI: 1033862362
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jan 2022
Record last updated: 27 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.