Individual
THOMAS LANE EDDLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2511 BROADMOOR BLVD, MONROE, LA 71201
(318) 322-2013
(318) 322-2048
Mailing address
2511 BROADMOOR BLVD, MONROE, LA 71201
(318) 322-2013
(318) 322-2048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5562
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1855626
—
LA
Enumeration date
11/22/2006
Last updated
10/08/2025
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