Provider First Line Business Practice Location Address:
43 N LIME ST
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:
17602-2950
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-299-5433
Provider Business Practice Location Address Fax Number:
717-393-3973
Provider Enumeration Date:
04/26/2006