Provider First Line Business Practice Location Address:
3 HOSPITAL DR STE 214
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEWISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17837-9394
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-524-4242
Provider Business Practice Location Address Fax Number:
570-524-4201
Provider Enumeration Date:
07/22/2011