Stephanie Lane Fennessey, MS, RD, LD, CDE
NPI #1033374178 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1033374178
- Entity Type
- Individual
- Name
- Stephanie Lane Fennessey, MS, RD, LD, CDE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- MS, RD, LD, CDE
- Enumeration Date
- Jul 28, 2008
- Last Updated
- Feb 28, 2022
Practice Location
- Address
- 9055 SPRINGBROOK DR NW
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55433-5841
- Phone
- (763) 780-9155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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