Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Healthsource of Lake Boone Trail, PLLC

Organization Chiropractor · NPI 1255616611

Healthsource of Lake Boone Trail, PLLC provides Chiropractor services 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.

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Practice location Address checks out

4025 Lake Boone Trl Ste 120
Raleigh, NC 27607-2986 Not confirmed with CMS for 14 years — call before visiting
Phone: (919) 785-9191
Fax: (919) 785-9193
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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

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