SearchFlorida133V00000X

Lori Fagan

NPI 1659418093 · on the registry since 2007

Practice

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

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida