Marden B Lacuesta MD INC

NPI #1811298342 in Celina, Ohio

Provider Information

NPI Number: 1811298342
Entity Type: Organization
Organization Name: Marden B Lacuesta MD INC
Primary Specialty: Family Medicine
Enumeration Date: Nov 15, 2010
Last Updated: Nov 15, 2010

Practice Location

Address: 718 E WAYNE ST
City: Celina
State: Ohio
ZIP Code: 45822-1356
Phone: (419) 586-2523

Authorized Official

Name: DR. MARDEN B LACUESTA, MD
Title: PRESIDENT
Phone: (419) 586-2523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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