Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Ortho Rehab, PA

Organization Chiropractor · NPI 1679766711

Advanced Ortho Rehab, PA is a Chiropractor in Lake Charles, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1 Lakeshore Dr Ste 1620
Lake Charles, LA 70629-0104
Phone: (337) 439-7007
Fax: (337) 439-7011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1563 (LA)

Record details

NPI number1679766711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Liscum — Proprietor · (337) 439-7007
Other names Human Performance: A Wellness & Rehab Center
NPI enumeratedAugust 22, 2007
Last updated in NPPESFebruary 13, 2012
Mailing address1 Lakeshore Dr Ste 1670, Lake Charles, LA 70629-0114

Other providers in Lake Charles