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. You can also correspond with Lori A Stackow through the mailing address at 1512 W KIRBY PL, SHREVEPORT, LA - 71103-3822 (mailing address contact number: 318-626-0177).
| 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 |
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