MEDICARE: AUBREY LUCAS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0106X	Orthopaedic Hand Surgery Physician	11384	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225060056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUBREY LUCAS M.D.

Provider Business Mailing Address
First Line	:	1040 N FLOWOOD DR
Second Line	:
City	:	FLOWOOD
State	:	MS
Zip	:	39232-9789
Country	:	US
Telephone Number	:	601-936-9000
Fax Number	:	769-990-4441

Provider Business Practice Location Address
First Line	:	1040 N FLOWOOD DR
Second Line	:
City	:	FLOWOOD
State	:	MS
Zip	:	39232-9789
Country	:	US
Telephone Number	:	601-936-9000
Fax Number	:	769-990-4441

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	12/04/2025

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