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General NPI Number Information
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NPI Number | 1457230344
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Entity Type | Organization
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Legal Business Name | AB LUCAS M D PLLC
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1040 N FLOWOOD DR
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City | FLOWOOD
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State | MS
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Zip | 39232-9789
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Country | US
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Telephone | 601-936-9000
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Fax | 769-990-4441
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Provider Business Mailing Address
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Address Line | 1040 N FLOWOOD DR
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City | FLOWOOD
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State | MS
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Zip | 39232-9789
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Country | US
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Telephone | 601-397-7714
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Fax | 601-853-2460
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. AUBREY B LUCAS
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Credential | MD
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Telephone | 601-936-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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