Individual
DR. JEFFERY C LAUBENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 RICE MINE ROAD LOOP, SUITE 206, TUSCALOOSA, AL 35406-2414
(205) 339-0171
(205) 333-8681
Mailing address
100 RICE MINE ROAD LOOP, SUITE 206, TUSCALOOSA, AL 35406-2414
(205) 339-0171
(205) 333-8681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00021965
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009956980
—
AL
Enumeration date
11/14/2006
Last updated
02/21/2008
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