Provider First Line Business Practice Location Address:
2110 HARRISBURG PIKE
Provider Second Line Business Practice Location Address:
SUITE 215
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-299-9232
Provider Business Practice Location Address Fax Number:
717-299-6532
Provider Enumeration Date:
03/24/2006