Provider First Line Business Practice Location Address:
LANSTUHL REGIONAL MEDICAL CENTER
Provider Second Line Business Practice Location Address:
UNIT 33100
Provider Business Practice Location Address City Name:
APO AE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
09018-3100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-590-6635
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2005