Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Micah Danielle Lust, PA-C

Individual provider Medical Physician Assistant · NPI 1295987410

Mrs. Micah Danielle Lust, PA-C is a Physician Assistant in Lubbock, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 2008, 18 years ago. Practices with Lubbock Primary Care, PLLC, a 15-clinician group. Licensed in Texas.

Years since qualifying
18
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
TX
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5004 122nd St Ste 200
Lubbock, TX 79424-8398
Phone: (469) 734-8689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA05964 (TX)

Record details

NPI number1295987410
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 21, 2008
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Lubbock Primary Care, Pllc — 15 clinicians
Accepts Medicare assignment Not indicated

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