Provider First Line Business Practice Location Address:
LANKENAU MEDICAL CENTER
Provider Second Line Business Practice Location Address:
100 LANCASTER AVE MOB EAST STE 459
Provider Business Practice Location Address City Name:
WYNNEWOOD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19096
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-642-3800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/26/2007