NPI 1144540790
Lyle Thomas Jackson, MD
Practice location
- Address
- 55 Coburg Rd, Eugene, OR 97401-2433
- Phone
- (541) 485-8111
Registered specialties (4)
Orthopaedic Foot and Ankle Surgery Physician
Primary
Orthopaedic Foot and Ankle Surgery Physician
Orthopaedic Surgery Physician
Orthopaedic Surgery Physician
Registry record
- NPI
- 1144540790
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Jun 2010
- Record last updated
- 27 Dec 2022
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.