Provider First Line Business Practice Location Address:
1725 OREGON PIKE
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:
17601-4206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-569-8518
Provider Business Practice Location Address Fax Number:
717-569-3903
Provider Enumeration Date:
01/11/2006