Mrs. Lori A Stackow, PAC
Mrs. Lori A Stackow, PAC is a Physician Assistant in Shreveport, Louisiana. Qualified in 1991, 35 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Texas.
- Years since qualifying
- 35
- Licensed in
- LA, TX
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
1541 Kings HwyShreveport, LA 71103-4228
Phone: (318) 626-0000
Fax: (318) 629-4833
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 6400 Fannin St Ste 2800, Houston, TX 77030-1534 — (713) 704-7100
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 332160 (LA) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PA10687 (TX) |
Record details
| NPI number | 1467449835 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | September 30, 2005 |
| Last updated in NPPES | February 22, 2023 |
| Certification date | February 22, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1991 (35 years in practice) |
| Group practice | Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Shreveport
-
Lauren P Scheffy, PA-C
8525 Line Ave Ste A, Shreveport, LA 71106-4531 · (318) 300-4926
-
Eric Todd Simolke, PA
1453 E Bert Kouns Industrial Loop Ste 319, Shreveport, LA 71105-6800 · (318) 681-1968
-
MS. Melanie Babin Smith, PA
510 E Stoner Ave, Shreveport, LA 71101-4243 · (318) 990-4037
-
Paula Nicole Spikes, PA-C
1455 E Bert Kouns Loop #109, Shreveport, LA 71105-5634 · (318) 798-4458
-
Amy White Stafford, PA-C
9007 Ellerbe Rd, Shreveport, LA 71106-6724 · (318) 222-3278
-
Mrs. Lauren Janway Stanton, PA-C
1455 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105-5634 · (318) 798-4623
-
Susan Lenora Steen, PA
1501 Kings Hwy Dept OF Neurosurgery, Shreveport, LA 71103-4228 · (318) 675-6901
-
Laura Mense Stephenson
1541 Kings Hwy, Shreveport, LA 71103-4228 · (318) 626-0000