Provider First Line Business Practice Location Address:
4TH & WILLOW STREET
Provider Second Line Business Practice Location Address:
HYMAN S CAPLAN PAVILION
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17042-0300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-272-4451
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/12/2006