Individual provider · Type 1 NPI

Micah Danielle Lust, PA-C

Medical Physician Assistant · Lubbock, TX

NPI number 1295987410 Active

Practice location

5004 122nd St Ste 200
Lubbock, TX 79424-8398

Call (469) 734-8689 Map

Mailing address

7008 Indiana Ave, Ste. A
Lubbock, TX 79413-6114

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA05964 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1295987410

Micah Danielle Lust, PA-C's National Provider Identifier is 1295987410, issued on Oct 21, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lubbock, TX. The record was last updated on Nov 29, 2022.