Organization · Type 2 NPI
Mentorup Life Lab & Clinic
General Practice Physician · Tuscaloosa, AL
NPI number
1063104511
Active
Practice location
535 Jack Warner Pkwy NE Ste G2
Tuscaloosa, AL 35404-5715
Mailing address
4202 20th St NE
Tuscaloosa, AL 35404-1502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
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- West Alabama Aids Outreach IncGeneral Practice Physician Tuscaloosa, AL NPI 1619731361
- Woundsavers, PCGeneral Practice Physician Tuscaloosa, AL NPI 1700150208
About NPI 1063104511
Mentorup Life Lab & Clinic's National Provider Identifier is 1063104511, issued on May 23, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Tuscaloosa, AL. The record was last updated on May 23, 2023.