Provider First Line Business Practice Location Address:
3 HOSPITAL DR STE 204
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEWISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17837-9394
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-524-6766
Provider Business Practice Location Address Fax Number:
570-524-6841
Provider Enumeration Date:
12/07/2006