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

Healthsource of Lake Boone Trail, PLLC

Organization Chiropractor · NPI 1255616611

Healthsource of Lake Boone Trail, PLLC is a Chiropractor in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4025 Lake Boone Trl Ste 120
Raleigh, NC 27607-2986
Phone: (919) 785-9191
Fax: (919) 785-9193
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3364 (NC)

Record details

NPI number1255616611
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Evans — Billing Manager · (919) 585-7365
NPI enumeratedOctober 18, 2011
Last updated in NPPESNovember 10, 2011
Mailing address4025 Lake Boone Trail, Suite 120, Raleigh, NC 27607-2986

Other providers in Raleigh