Individual
ELIZABETH L LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16 MOUNTAIN BLVD, WARREN, NJ 07059-5614
(908) 769-7200
(908) 769-9141
Mailing address
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816-5426
(732) 390-0040
(732) 390-1856
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA06571100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300076935
RAILROAD MEDICARE - EDISON
NJ
01
—
300102240
RAILROAD MEDICARE - BRIDGEWATER
NJ
01
—
300102250
RAILROAD MEDICARE - WARREN
NJ
05
—
7288603
—
NJ
Enumeration date
06/24/2005
Last updated
12/13/2016
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