Provider First Line Business Practice Location Address:
4TH & WILLOW STREET
Provider Second Line Business Practice Location Address:
HYMAN CAPLAN 2ND FLOOR
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17042-0300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-270-3821
Provider Business Practice Location Address Fax Number:
717-270-3821
Provider Enumeration Date:
05/01/2006