Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Fenda Wallace, RD

Individual provider Registered Dietitian · NPI 1033862362

Lisa Fenda Wallace, RD is a Registered Dietitian in Naples, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

430 Willet Ave
Naples, FL 34108-2104
Phone: (216) 409-1727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 11012 (FL)

Record details

NPI number1033862362
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedJanuary 27, 2022
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022

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