Provider First Line Business Practice Location Address: 
555 N. DUKE STREET
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
LANCASTER
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
17602-2250
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
717-544-5090
    Provider Business Practice Location Address Fax Number: 
302-651-4945
    Provider Enumeration Date: 
01/14/2008