Lust, Micah Danielle

Lust, Micah Danielle is an individual health care provider with primary practice located at 5004 122Nd St Ste 200 , Lubbock TX 79424-8398. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Lust, Micah Danielle can be contacted via phone (469) 734-8689.

Contact Information

Primary practice address
5004 122Nd St Ste 200 Lubbock TX 79424-8398
Phone: (469) 734-8689
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA05964 Texas

Profile Details

NPI number 1295987410
LBN Legal business name Lust, Micah Danielle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Nov 29th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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