We have a recent post for Lync Server 2010 on NextHop http://blogs.technet.com/b/nexthop/archive/2012/09/10/how-to-automate-your-new-account-creation-process.aspx and I was looking for input as I reviewed the article and tool and thought it to be a solid solution but I don't have to admin a topology every day. If you try the tool and have feedback, you need to let the tool author know but I would value hearing what you say as well.

Hoping we helped you find a useful tool for your day job,