Individual
MARGUERITE LOUISE ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2705 N LEBANON ST STE 210, LEBANON, IN 46052-8622
(765) 485-8790
(765) 485-8795
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10002974A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300040184
—
IN
Enumeration date
06/16/2020
Last updated
04/01/2025
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