Provider First Line Business Practice Location Address:
1864 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:
17601-6402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-519-6700
Provider Business Practice Location Address Fax Number:
717-519-6722
Provider Enumeration Date:
07/22/2011