Individual provider · Type 1 NPI

Lyle Thomas Jackson Jr., MD

Orthopaedic Foot and Ankle Surgery Physician · Eugene, OR

NPI number 1144540790 Active

Practice location

55 Coburg Rd
Eugene, OR 97401-2433

Other practice locations

  • 555 N Arlington Ave, Reno, NV 89503-4723 · (775) 786-3040

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X16057 (NV)
Orthopaedic Foot and Ankle Surgery Physician Primary 207XX0004XMD176209 (OR)
Orthopaedic Surgery Physician 207X00000X32738 (SC)
Orthopaedic Surgery Physician 207X00000X16057 (NV)

Orthopaedic Foot and Ankle Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

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About NPI 1144540790

Lyle Thomas Jackson Jr., MD's National Provider Identifier is 1144540790, issued on Jun 6, 2010. The primary taxonomy on file is Orthopaedic Foot and Ankle Surgery Physician (207XX0004X), and the practice location is in Eugene, OR. The record was last updated on Dec 27, 2022.