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

Lisa Marie McEnulty, AAS

Individual provider Specialist · NPI 1619523438

Lisa Marie McEnulty, AAS is a Specialist in Fairbanks, Alaska. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1027 Evergreen St
Fairbanks, AK 99709-4306
Phone: (907) 451-8164
Fax: (907) 451-0273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3100 S Cushman St, Fairbanks, AK 99701-7516 — (907) 452-6251

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1619523438
Entity typeIndividual (Type 1)
GenderFemale
Credentials AAS
Sole proprietorNo
NPI enumeratedAugust 16, 2019
Last updated in NPPESAugust 16, 2019

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