Individual
LANE ELIZABETH ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(678) 207-4373
(770) 533-4727
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 533-6511
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
13131
GA
363AM0700X
Medical Physician Assistant
Primary
13131
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003328075A
—
GA
Enumeration date
02/08/2025
Last updated
07/24/2025
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