Individual provider · Type 1 NPI

Lance Glen Jacobson, MD

Orthopaedic Surgery Physician · Idaho Falls, ID

NPI number 1689940405 Active

Practice location

3200 Channing Way Ste A205
Idaho Falls, ID 83404-7586

Call (208) 535-4580 Map

Mailing address

PO Box 277381
Atlanta, GA 30384-7381

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Trauma Physician 207XX0801XM-14018 (ID)
Orthopaedic Surgery Physician Primary 207X00000XM-14018 (ID)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1689940405

Lance Glen Jacobson, MD's National Provider Identifier is 1689940405, issued on Mar 26, 2012. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 14, 2023.