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Lisa Marie Mcenulty, AAS
Specialist in Fairbanks, Alaska
NPI 1619523438

Lisa Marie Mcenulty is a Specialist based in Fairbanks, AK. Lisa Marie Mcenulty practices in Fairbanks, AK and has the professional credentials of AAS. The NPI Number for Lisa Marie Mcenulty is 1619523438 and holds a License No. (Alaska).

The current practice location address for Lisa Marie Mcenulty is 1027 Evergreen St, Fairbanks, AK and can be reached out via phone at 907-451-8164 and via fax at 907-451-0273.

Location: 1027 Evergreen St, Fairbanks, AK, 99701-4396
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619523438
Provider Name
Lisa Marie Mcenulty
Credential
AAS
Provider Entity Type
Individual
Gender
Female
Address
1027 Evergreen St, Fairbanks, AK, 99701-4396
Phone Number
907-451-8164
Fax Number
907-451-0273
Provider Enumeration Date
08/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1027 Evergreen St
City
Fairbanks
State
Alaska
Zip
99709-4306
Phone Number
907-451-8164
Fax Number
907-451-0273
person
Provider Business Mailing Address Details
Address
1027 Evergreen St
City
Fairbanks
State
Alaska
Zip
99709-4306
Phone Number
907-451-8164
Fax Number
907-451-0273
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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