DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LANCE GLEN JACOBSON, MD

Active

LANCE GLEN JACOBSON, MD is a Orthopaedic Surgery healthcare provider located in IDAHO FALLS, Idaho. NPI 1689940405 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · IDAHO FALLS, ID

Registration Details

NPI Number
1689940405
Provider Type
Individual
Gender
Male
NPI Issued
Mar 26, 2012 (14.405969242924 yrs)
Last Updated
Sep 14, 2023
Licenses
M-14018 (ID)
M-14018 (ID)

Practice Information

Address
3200 CHANNING WAY STE A205
IDAHO FALLS, ID, 834047586
Browse ID providers · Browse ZIP 83404
Phone
2085354580
Primary Specialty
Orthopaedic Surgery
207X00000X
Additional Specialty
Orthopaedic Surgery

Other Orthopaedic Surgery Providers in IDAHO FALLS, ID

Name Credential NPI
GUY ERIC GROOMS MD 1053316786
DR. JOHN L ANDARY M.D. 1629060280
DR. BRIGHAM B REDD MD 1144208059
DR. CASEY I HUNTSMAN M.D. 1932136512
DR. PHILIP R MCCOWIN M.D. 1730297706
DR. GREGORY G WEST M.D. 1912015074
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.