Provider First Line Business Practice Location Address:
301 LORTZ AVE
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-3438
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-263-8111
Provider Business Practice Location Address Fax Number:
717-263-4811
Provider Enumeration Date:
05/23/2007