Jacobson, Lance Glen

Jacobson, Lance Glen is an individual health care provider with primary practice located at 3200 Channing Way Ste A205 , Idaho Falls ID 83404-7586. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Jacobson, Lance Glen can be contacted via phone (208) 535-4580.

Contact Information

Primary practice address
3200 Channing Way Ste A205 Idaho Falls ID 83404-7586
Phone: (208) 535-4580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X M-14018 Idaho
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M-14018 Idaho

Profile Details

NPI number 1689940405
LBN Legal business name Jacobson, Lance Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2012
Last updated Sep 14th, 2023 - 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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