Provider First Line Business Practice Location Address:
BLDG 301, ANDREWS AVE.
Provider Second Line Business Practice Location Address:
LYSTER ARMY HEALTH CLINIC
Provider Business Practice Location Address City Name:
FPO
Provider Business Practice Location Address State Name:
AA
Provider Business Practice Location Address Postal Code:
36362-5333
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-255-7883
Provider Business Practice Location Address Fax Number:
334-255-7368
Provider Enumeration Date:
09/29/2008