Provider First Line Business Practice Location Address:
2421 OLD TURNPIKE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEWISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17837-6523
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-524-7999
Provider Business Practice Location Address Fax Number:
570-524-7993
Provider Enumeration Date:
10/17/2013