Jackson, Lyle Thomas

Jackson, Lyle Thomas is an individual health care provider with primary practice located at 55 Coburg Rd , Eugene OR 97401-2433. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Jackson, Lyle Thomas can be contacted via phone (541) 485-8111.

Contact Information

Primary practice address
55 Coburg Rd Eugene OR 97401-2433
Phone: (541) 485-8111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 16057 Nevada
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X MD176209 Oregon
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 32738 South Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 16057 Nevada

Profile Details

NPI number 1144540790
LBN Legal business name Jackson, Lyle Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2010
Last updated Dec 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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