Individual
SAMUEL E LISCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
24012 MAPLEWOOD DR, SUITE 2, SULPHUR, LA 70663
(337) 439-7007
(337) 439-7011
Mailing address
7304 OLSEN RD, SULPHUR, LA 70665-7796
(337) 439-7007
(337) 439-7011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1563
LA
Other
Enumeration date
07/13/2006
Last updated
05/20/2021
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