Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Noah Alexander Fred Lane

Individual provider Physical Therapy Assistant · NPI 1790422335

Noah Alexander Fred Lane is a Physical Therapy Assistant in Suwanee, Georgia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2576 Lawrenceville Suwanee Rd Ste 101
Suwanee, GA 30024-7291
Phone: (770) 962-4043
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1790422335
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 16, 2022
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022
Mailing address2576 Lawrenceville Suwanee Rd Ste 101, Suwanee, GA 30024-7291

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