Individual provider · Type 1 NPI

Lacie Stafford Moore, PA-C

Physician Assistant · Lafayette, LA

NPI number 1760767610 Active

Practice location

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902

Call (337) 521-9127 Map

Other practice locations

  • 2300 Hospital Dr, Suite 180, Bossier City, LA 71111-2394 · (318) 212-7520

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA.200503 (LA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1760767610

Lacie Stafford Moore, PA-C's National Provider Identifier is 1760767610, issued on Oct 11, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lafayette, LA. The record was last updated on Mar 17, 2018.