Provider First Line Business Practice Location Address:
1700 SOUTH LINCOLN AVE
Provider Second Line Business Practice Location Address:
LEBANON VA MEDICAL CENTER
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17042-9970
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-409-8771
Provider Business Practice Location Address Fax Number:
717-228-6156
Provider Enumeration Date:
07/01/2006