NPI 1124043500

Thomas Lane Jackson, MD

Practitioner Urology Physician Concord, NH

Practice location

Address: 246 Pleasant St STE G2 Concord Hospital Center for Urologic Care, Concord, NH 03301-2548
Phone: (603) 224-3388
Fax: (603) 225-3557

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 13825 (NH)

Other Urology providers in New Hampshire →

Registry record

NPI: 1124043500
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2006
Record last updated: 18 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.