Lane Eddleman, Dds, Llc

LBN: Lane Eddleman, Dds, Llc
Lane Eddleman, Dds, Llc is an health care organization with primary practice located at 2511 Broadmoor Blvd , Monroe LA 71201-2987. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Lane Eddleman, Dds, Llc can be contacted via phone (318) 322-2013, or through Garnett, Wendi via phone (318) 322-2013.

Contact Information

Primary practice address
2511 Broadmoor Blvd Monroe LA 71201-2987
Phone: (318) 322-2013
Fax: (318) 322-2048
Website:
Map and Directions
Authorized official contact:
Name: Garnett, Wendi
Phone: (318) 322-2013

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5562 Louisiana

Profile Details

NPI number 1588054779
LBN Legal business name Lane Eddleman, Dds, Llc
DBA Doing business as
Authorized official Garnett, Wendi
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2015
Last updated Jan 27th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588054779 NPPES
Louisiana MEDICAID 1860590
Louisiana MEDICAID 1855626

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