person
Mrs. Micah Danielle Lust, PA-C
Medical Physician Assistant in Lubbock, Texas
NPI 1295987410

Micah Danielle Lust is a Medical Physician Assistant based in Lubbock, TX and is specialized in Medical. Micah Danielle Lust practices in Lubbock, TX and has the professional credentials of PA-C. The NPI Number for Micah Danielle Lust is 1295987410 and holds a License No. PA05964 (Texas).

The current practice location address for Micah Danielle Lust is 5004 122Nd St Ste 200, Lubbock, TX and can be reached out via phone at 469-734-8689.

Location: 5004 122Nd St Ste 200, Lubbock, TX, 79413-6114
person
Provider Profile Details
NPI Number
1295987410
Provider Name
Micah Danielle Lust
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5004 122Nd St Ste 200, Lubbock, TX, 79413-6114
Phone Number
469-734-8689
Fax Number
Provider Enumeration Date
10/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5004 122Nd St Ste 200
City
State
Zip
79424-8398
Phone Number
469-734-8689
Fax Number
person
Provider Business Mailing Address Details
Address
5004 122Nd St Ste 200
City
State
Zip
79424-8398
Phone Number
469-734-8689
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA05964 (Texas)
Definition
Definition to come...
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