HUMAN PERFORMANCE: A WELLNESS & REHAB CENTER
NPI 1679766711
Chiropractor in Lake Charles, LA

Active since August 22, 2007
1 LAKESHORE DR STE 1620, LAKE CHARLES, LA 70629(337) 439-7007(337) 439-7011 Get Directions Write a Review

NPPES record last updated: February 13, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Human Performance: A Wellness & Rehab Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HUMAN PERFORMANCE: A WELLNESS & REHAB CENTER (NPI 1679766711) is a healthcare organization registered as a chiropractor in Lake Charles, Louisiana and active in the NPI registry since August 2007. The organization lists Samuel E Liscum, Proprietor, as its authorized official.

NPPES Registry Identity

NPI1679766711
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameADVANCED ORTHO REHAB, P.A.
Location Address1 LAKESHORE DR STE 1620Lake Charles, LA 70629-0104
Mailing Address1 Lakeshore Dr Ste 1670Lake Charles, LA 70629-0114 · (337) 439-7007 · Fax (337) 439-7011
Fax(337) 439-7011
Organization SubpartNo
Authorized OfficialSamuel E LiscumProprietor · (337) 439-7007
Enumeration DateAugust 22, 2007
Last NPPES UpdateFebruary 13, 2012
NPI 1679766711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in LA · 1563
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1 LAKESHORE DR STE 1620, Lake Charles, LA 70629

Other Names 1

Doing Business AsHuman Performance: A Wellness & Rehab Center

Other Identifiers 1

Medicare PIN00312HTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679766711, enumerated as an "organization" on August 22, 2007.

The provider is located at 1 LAKESHORE DR STE 1620 LAKE CHARLES, LA 70629 and the phone number is (337) 439-7007.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Medicare. Please consult your insurance carrier or call the provider to verify.