Individual
DR. THOMAS LANE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
246 PLEASANT ST STE G2, CONCORD HOSPITAL CENTER FOR UROLOGIC CARE, CONCORD, NH 03301-2548
(603) 224-3388
(603) 225-3557
Mailing address
246 PLEASANT ST STE G2, CONCORD HOSPITAL CENTER FOR UROLOGIC CARE, CONCORD, NH 03301-2548
(603) 224-3388
(603) 225-3557
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
13825
NH
Other
Enumeration date
07/13/2006
Last updated
06/18/2009
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