Individual provider · Type 1 NPI

Alexis Nicole Lane, PharmD

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fort Wayne, IN

NPI number 1912569385 Active

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Mailing address

8648 Tozer Ct Apt 4
Portage, MI 49024-4809

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X26028218A (IN)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

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About NPI 1912569385

Alexis Nicole Lane, PharmD's National Provider Identifier is 1912569385, issued on Jul 5, 2019. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Fort Wayne, IN. The record was last updated on May 7, 2026.