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

Lori Ann Fagan

Individual provider Registered Dietitian · NPI 1659418093

Lori Ann Fagan is a Registered Dietitian OR Nutrition Professional in Land O Lakes, Florida. Qualified in 1997, 29 years ago. Practices with The Dietitians Group of West Florida, Inc, a 5-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
29
Licensed in
WV
In the registry since
2007
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Practice location Address checks out

10475 Banyan Breeze Blvd
Land O Lakes, FL 34638-5720
Phone: (304) 598-1560
Fax: (304) 322-0601
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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 486 (WV)

Record details

NPI number1659418093
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address10475 Banyan Breeze Blvd, Land O Lakes, FL 34638-5720

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice The Dietitians Group Of West Florida, Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Land O Lakes