Provider First Line Business Practice Location Address:
2150 HARRISBURG PIKE
Provider Second Line Business Practice Location Address:
STE 370
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17601-2644
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-399-8790
Provider Business Practice Location Address Fax Number:
717-399-3279
Provider Enumeration Date:
06/30/2009