Mentorup Life Lab & Clinic
Mentorup Life Lab & Clinic is a General Practice Physician in Tuscaloosa, Alabama. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
535 Jack Warner Pkwy NE Ste G2Tuscaloosa, AL 35404-5715
Phone: (205) 771-2261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1063104511 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ellory Johnson — Medical Director · (205) 771-2261 |
| NPI enumerated | May 23, 2023 |
| Last updated in NPPES | May 23, 2023 |
| Certification date | May 23, 2023 |
| Mailing address | 4202 20th St Ne, Tuscaloosa, AL 35404-1502 |
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