Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lacie Stafford Moore, PA-C

Individual provider Physician Assistant · NPI 1760767610

Mrs. Lacie Stafford Moore, PA-C is a Physician Assistant in Lafayette, Louisiana. Qualified in 2011, 15 years ago. Practices with Check Point Urgent Care, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
15
Licensed in
LA
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902
Phone: (337) 521-9127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2300 Hospital Dr, Bossier City, LA 71111-2394 — (318) 212-7520

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.200503 (LA)

Record details

NPI number1760767610
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 11, 2011
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Check Point Urgent Care — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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