| Doctor Name: | RUBY L LUCROY |
| NPI Number: | 1194830398 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | R543225 |
| Business Practice Address: | 321 Highway 13 S Morton, MS - 391173353 |
| Business Phone Number: | 6017328612 |
| Business Fax Number: | 6017321957 |
| Mailing Address: | Po Box 2065, MERIDIAN |
| State: | MS |
| Postal Code: | 393022065 |
| Phone Number: | 6017034282 |
| Fax Number: | 6017034597 |
| NPI Enumeration Date: | 08/20/2006 |
| NPI Last Update Date: | 11/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R543225 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |