Provider Demographics
NPI:1942630959
Name:STIGER, LAURIE SMITH (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:SMITH
Last Name:STIGER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 KNIGHT ST STE 102
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-2412
Mailing Address - Country:US
Mailing Address - Phone:318-771-2008
Mailing Address - Fax:318-374-6467
Practice Address - Street 1:2920 KNIGHT ST STE 102
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-2412
Practice Address - Country:US
Practice Address - Phone:318-771-2008
Practice Address - Fax:318-374-6467
Is Sole Proprietor?:No
Enumeration Date:2013-11-13
Last Update Date:2023-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX659149163W00000X
TXAP125095363LF0000X, 363LP0808X
ARA004407363LP0808X
LAAP220808363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP125095OtherAPRN, FNP-C, PMHNP-BC
ARA004407OtherPSYCHIATRY APRN
LA2581082Medicaid
NM70904OtherAPRN, PMHNP-BC