Provider First Line Business Practice Location Address:
1 LEMOYNE SQ STE 100A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEMOYNE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17043-1230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-707-0141
Provider Business Practice Location Address Fax Number:
717-707-0142
Provider Enumeration Date:
03/13/2026