Individual provider · Type 1 NPI

Elexus Lane, MD

Student in an Organized Health Care Education/Training Program · Paramus, NJ

NPI number 1417804337 Active

Practice location

230 E Ridgewood Ave
Paramus, NJ 07652-4142

Mailing address

208 Kingsley Way
Woodstock, GA 30188-5642

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417804337

Elexus Lane, MD's National Provider Identifier is 1417804337, issued on Mar 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Paramus, NJ. The record was last updated on Mar 11, 2026.