MEDICARE: AB LUCAS M D PLLC

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

General Provider Information

NPI Number	:	1457230344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AB LUCAS M D PLLC

Provider Business Mailing Address
First Line	:	1040 N FLOWOOD DR
Second Line	:
City	:	FLOWOOD
State	:	MS
Zip	:	39232-9789
Country	:	US
Telephone Number	:	601-397-7714
Fax Number	:	601-853-2460

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	:	AUTHORIZED OFFICIAL
Name	:	DR. AUBREY B LUCAS
Credential	:	MD
Telephone Number	:	601-936-9000

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	10/02/2025

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