| Marden B Lacuesta Md Inc | |
|
718 E Wayne St Celina OH 45822-1356 | |
| (419) 586-2523 | |
| (419) 584-1617 |
| Full Name | Marden B Lacuesta Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 718 E Wayne St, Celina, Ohio |
| Authorized Official Name and Position | Marden B Lacuesta (PRESIDENT) |
| Authorized Official Contact | 4195862523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marden B Lacuesta Md Inc 718 E Wayne St Celina OH 45822-1356 Ph: (419) 586-2523 | Marden B Lacuesta Md Inc 718 E Wayne St Celina OH 45822-1356 Ph: (419) 586-2523 |
| NPI Number | 1811298342 |
|---|---|
| Provider Enumeration Date | 11/15/2010 |
| Last Update Date | 11/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811298342 | NPI | - | NPPES |
| 0396905 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35043441 (Ohio) | Primary |
Quad/med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Murlin Ave, Celina, OH 45822 Phone: 419-584-7111 | |
Gastro-intestinal Associates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 S Main St, Celina, OH 45822 Phone: 419-227-8209 Fax: 419-227-8224 | |
Connecticut General Life Insurance Company (cglic) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Murlin Ave, Celina, OH 45822 Phone: 937-485-9401 |