Provider First Line Business Practice Location Address:
223 W ORANGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17603-3747
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-392-8536
Provider Business Practice Location Address Fax Number:
717-392-7697
Provider Enumeration Date:
07/08/2008