MRS. LORI STACKOW, PAC
Physician Assistant
Active
Individual
NPI: 1467449835
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 332160 (LA) |
Frequently Asked Questions
NPI 1467449835 is the National Provider Identifier for MRS. LORI STACKOW, PAC, a Physician Assistant provider located in Shreveport, LA. This NPI was enumerated on September 30, 2005.
MRS. LORI STACKOW, PAC practices at 1541 KINGS HWY, Shreveport, LA 71103.
Quick Facts
- NPI
- 1467449835
- Type
- Individual
- Enumerated
- Sep 30, 2005
- Last Updated
- Feb 22, 2023
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