Individual
DR. MARDEN B LACUESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
718 EAST WAYNE STREET, CELINA, OH 45822
(419) 586-2523
(419) 584-1617
Mailing address
718 EAST WAYNE STREET, CELINA, OH 45822
(419) 586-2523
(419) 584-1617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35043441
OH
208600000X
Surgery Physician
Primary
35043441
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0396905
—
OH
Enumeration date
10/18/2006
Last updated
09/11/2025
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