Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LORI A STACKOW, PAC
ActiveMRS. LORI A STACKOW, PAC is a Physician Assistant healthcare provider located in SHREVEPORT, Louisiana. NPI 1467449835 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SHREVEPORT, LA
Registration Details
- NPI Number
- 1467449835
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 30, 2005 (20.726549893373 yrs)
- Last Updated
- Feb 22, 2023
- Licenses
-
PA10687 (TX)332160 (LA)
Practice Information
- Address
-
1541 KINGS HWYSHREVEPORT, LA, 711034228Browse LA providers · Browse ZIP 71103
- Phone
- 3186260000
- Fax
- 3186294833
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DONNA TERRY | PA-C | 1104823947 |
| KIMBERLY E MEYER | PA-C | 1760475651 |
| KENNETH BETZING | PA-C | 1053304048 |
| MARY ALEXIS K GREEN | PA-C | 1366436487 |
| MR. MARVIN KEITH RAINWATER | PA | 1457310773 |
| AKANE DANIELS | P.A. | 1700837333 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.