Mrs. Lori A Stackow, PAC - Shreveport, LA

Mrs. Lori A Stackow, PAC

Physician Assistant in Shreveport, Louisiana

NPI 1467449835

Lori A Stackow is a Physician Assistant based in Shreveport, LA. Lori A Stackow practices in Shreveport, LA and has the professional credentials of PAC. The NPI Number for Lori A Stackow is 1467449835 and holds a License No. PA10687 (Louisiana).

The current practice location address for Lori A Stackow is 1541 Kings Hwy, Shreveport, LA and can be reached out via phone at 318-626-0000 and via fax at 318-629-4833.

Location: 1541 Kings Hwy, Shreveport, LA, 71103-3822

NPI Number

1467449835

Provider Name

Lori A Stackow

Credential

PAC

Provider Entity Type

Individual

Gender

Female

Address

1541 Kings Hwy, Shreveport, LA, 71103-3822

Phone Number

318-626-0000

Fax Number

318-629-4833

Provider Enumeration Date

09/30/2005

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
49008	01	WA	DEPT OF LABOR AND INDUSTR
8434896	05	WA
004385800	05	ID
153449704	05	TX
PAJB6	01	ID	BLUE CROSS OF ID
000010017182	01	ID	REGENCE BS OF ID
601417200	01		DEEIOC

Address

1541 Kings Hwy

City

Shreveport

State

Louisiana

Zip

71103-4228

Phone Number

318-626-0000

Fax Number

318-629-4833

Address

1541 Kings Hwy

City

Shreveport

State

Louisiana

Zip

71103-4228

Phone Number

318-626-0000

Fax Number

318-629-4833

Type

Physician Assistants & Advanced Practice Nursing Providers

Classification

Physician Assistant

Speciality

Taxonomy

363A00000X

License No.

PA10687 (Texas)

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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