# MARDEN B LACUESTA MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811298342
- **Authorized official:** DR. MARDEN B LACUESTA MD (PRESIDENT)
- **Authorized official phone:** (419) 586-2523

## Contact information

- **Practice address:** 718 E WAYNE ST, CELINA, OH 45822-1356
- **Practice address phone:** (419) 586-2523
- **Practice address fax:** (419) 584-1617
- **Mailing address:** 718 E WAYNE ST, CELINA, OH 45822-1356
- **Mailing address phone:** (419) 586-2523
- **Mailing address fax:** (419) 584-1617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35043441 | OH | Yes |

## Other

- **Enumeration date:** 11/15/2010
- **Last updated:** 11/15/2010