OrganizationActive
Advanced Ortho Rehab, P.A.
NPI 1679766711 · Chiropractor · Lake Charles, LA
Provider details
- NPI number
- 1679766711
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Samuel Liscum, Proprietor(337) 439-7007
- License
- 1563 (LA)
Specialties & taxonomies
Chiropractic Providers
Practice location
1 Lakeshore Dr Ste 1620
Lake Charles, LA 70629-0104
Phone: (337) 439-7007
Fax: (337) 439-7011
Approximate (ZIP-level) locationGet directions
Mailing address
1 Lakeshore Dr Ste 1670
Lake Charles, LA 70629-0114
Other names (DBA / former)
- Doing business as
- Human Performance: a Wellness & Rehab Center
Registry dates
- Enumerated
- 2007-08-22
- Last updated
- 2012-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.