Individual provider · Type 1 NPI

Lori Ann Fagan

Registered Dietitian · Land O Lakes, FL

NPI number 1659418093 Active

Practice location

10475 Banyan Breeze Blvd
Land O Lakes, FL 34638-5720

Fax (304) 322-0601

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X486 (WV)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1659418093

Lori Ann Fagan's National Provider Identifier is 1659418093, issued on Feb 1, 2007. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Land O Lakes, FL. The record was last updated on Jan 6, 2026.