Individual
IDAR ERIC ROMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 UNIVERSITY AVE, MONROE, LA 71203
(318) 966-8266
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-8266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00020810
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
344523
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080172058
MEDICARE RAILROAD
WA
05
—
1027747
—
WA
Enumeration date
07/22/2006
Last updated
05/04/2026
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