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Lyle Thomas Jackson JR.

Orthopaedic Surgeon Foot and Ankle Orthopaedic Surgeon

55 Coburg Rd
Eugene , Oregon 97401-2433

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Lyle Thomas Jackson JR.

Orthopaedic Surgeon Foot and Ankle Orthopaedic Surgeon

55 Coburg Rd
Eugene , Oregon 97401-2433

(541) 342-6379

Write a Review Save Call

Lyle Thomas Jackson JR.

Orthopaedic Surgeon Foot and Ankle Orthopaedic Surgeon

55 Coburg Rd
Eugene , Oregon 97401-2433

(541) 342-6379 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Orthopaedic Surgeon
  • Foot and Ankle Orthopaedic Surgeon

Languages spoken

  • English

Location

55 Coburg Rd Eugene , Oregon 97401-2433

First Address

  • Lyle Thomas Jackson JR.
  • 55 Coburg Rd
  • Eugene, OR
  • Zip : 97401-2433
  • Fax : (541) 342-6379
  • Phone : (541) 485-8111

Second Address

  • Lyle Thomas Jackson JR.
  • 55 Coburg Rd
  • Eugene, OR
  • Zip : 97401-2433
  • Phone : (541) 485-8111

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FAQs


Where did Lyle Thomas Jackson JR. attend graduate school?

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Where did Lyle Thomas Jackson JR. do his residency?

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Where did Lyle Thomas Jackson JR. do his fellowship?

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Is Lyle Thomas Jackson JR. board certified?

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What type of doctor is Lyle Thomas Jackson JR.

Foot and Ankle Orthopaedic Surgeon

In what state does Lyle Thomas Jackson JR. practice in?

Oregon

Where is Lyle Thomas Jackson JR.’s practice located?

55 Coburg Rd , Eugene, Oregon, 97401-2433

What is Lyle Thomas Jackson JR.’s gender?

Male

Is Lyle Thomas Jackson JR. a sole practitioner?

No

Is Lyle Thomas Jackson JR. accepting new patients?

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What languages does Lyle Thomas Jackson JR. speak?

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Does Lyle Thomas Jackson JR. accept insurance?

Yes, Lyle Thomas Jackson JR. accepts insurance

Does Lyle Thomas Jackson JR. offers telemedicine?

Lyle Thomas Jackson JR. has not indicated if he offers telemedicine

What is Lyle Thomas Jackson JR.’s professional license number?

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What is Lyle Thomas Jackson JR.’s NPI number?

1144540790

Does Lyle Thomas Jackson JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207X00000X Orthopaedic Surgeon 16057 NV
N 207X00000X Orthopaedic Surgeon 32738 SC
N 207XX0004X Foot and Ankle Orthopaedic Surgeon 16057 NV
Y 207XX0004X Foot and Ankle Orthopaedic Surgeon MD176209 OR

National Provider Identifier

NPI 1144540790
Provider Name Lyle Thomas Jackson JR.
First Address Eugene, OR 97401-2433
Second Address Eugene, OR 97401-2433
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 06/06/2010
Last Update Date 28/07/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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