| Advanced Ortho Rehab, P.a. | |
|
1 Lakeshore Dr Ste 1620, Lake Charles, LA 70629-0104 | |
| (337) 439-7007 | |
| (337) 439-7011 |
| Full Name | Advanced Ortho Rehab, P.a. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1 Lakeshore Dr Ste 1620, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679766711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1563 (Louisiana) | Primary |
| Provider Name | Samuel Liscum |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396760096 PECOS PAC ID: 9133293350 Enrollment ID: I20110621000778 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Ortho Rehab, P.a. 1 Lakeshore Dr Ste 1670, Lake Charles, LA 70629-0114 Ph: (337) 439-7007 | Advanced Ortho Rehab, P.a. 1 Lakeshore Dr Ste 1620, Lake Charles, LA 70629-0104 Ph: (337) 439-7007 |
Ms. Carol Margaret Beutler, DOCTOR OF CHIROPRACT Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1200 Enterprise Blvd, Lake Charles, LA 70601 Phone: 337-439-9313 Fax: 337-439-8045 | |
Dr. Joseph A Livergood, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 730 Bayou Pines East Dr Ste A, Lake Charles, LA 70601 Phone: 337-433-7551 | |
Advanced Medical And Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1528 E Prien Lake Rd, Ste B, Lake Charles, LA 70601 Phone: 337-479-2057 Fax: 337-479-2099 | |
Gary V Mertz & Associates Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2301 E Prien Lake Rd, Lake Charles, LA 70601 Phone: 337-478-6172 Fax: 337-474-4935 | |
Ward Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 4211 Lake Street, Suite 20, Lake Charles, LA 70605 Phone: 337-990-5497 Fax: 337-990-5570 | |
Classic Chiropractic Care Clinic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 910 8th Avenue, Lake Charles, LA 70601 Phone: 337-488-9111 Fax: 337-439-1526 | |
Duhon Calcasieu Spinal Care A Professional Chiropractic Corporation Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2118 E Prien Lake Rd, Lake Charles, LA 70601 Phone: 337-474-7700 Fax: 337-474-7705 |