Provider First Line Business Practice Location Address:
1328 STATE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINCOLN UNIVERSITY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19352-1000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-869-4201
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/14/2007