Whalio Doctors

NPI 1144540790

Lyle Thomas Jackson, MD

Practitioner Orthopaedic Foot and Ankle Surgery Physician Eugene, OR

Practice location

Address
55 Coburg Rd, Eugene, OR 97401-2433
Phone
(541) 485-8111

Registered specialties (4)

Orthopaedic Foot and Ankle Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207XX0004X Licence MD176209 (OR)
Orthopaedic Foot and Ankle Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207XX0004X Licence 16057 (NV)
Orthopaedic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 32738 (SC)
Orthopaedic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 16057 (NV)

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.