Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lacey Hauser Byram, PA

Individual provider Physician Assistant · NPI 1639612013

Lacey Hauser Byram, PA is a Physician Assistant in Shreveport, Louisiana. Qualified in 2016, 10 years ago. Practices with Wk Orthopedic Clinic, a 21-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
10
Licensed in
LA
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7925 Youree Dr Ste 200
Shreveport, LA 71105-5134
Phone: (318) 212-3610
Fax: (318) 212-3709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 303570 (LA)

Record details

NPI number1639612013
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 2, 2016
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Wk Orthopedic Clinic — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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