Provider First Line Business Practice Location Address:
134 W MARKET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEWISTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17044-2129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-437-9000
Provider Business Practice Location Address Fax Number:
717-437-9001
Provider Enumeration Date:
09/17/2012