Ruby L Lucroy CFNP

NPI 1194830398 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1194830398
Gender Female
Enumeration Date 08/20/2006
Last Updated 11/09/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
321 HIGHWAY 13 S
MORTON MS, 39117-3353, US
Phone (601) 732-8612
Fax (601) 732-1957
Business Location
PO BOX 2065
MERIDIAN MS, 39302-2065, US
Phone (601) 703-4282
Fax (601) 703-4597
Taxonomy Code 363LF0000X
License State Mississippi
License Number R543225
Remove 1194830398 NPI Number

According to our database, Ruby L Lucroy CFNP NPI is 1194830398, taxonomy code is 363LF0000X and license number is R543225, license state is located at Mississippi. Ruby L Lucroy CFNP physically located at 321 Highway 13 S, Morton MS, 39117-3353. NPI Number Ruby L Lucroy CFNP has the Individual type.

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1194830398 NPI number is provided on an as is basis without warranty of any kind. 1194830398 is maintained by the National Plan & Provider Enumeration System. The contents of Ruby L Lucroy CFNP are for informational purposes only.