Provider First Line Business Practice Location Address:
1848 CHARTER LANE
Provider Second Line Business Practice Location Address:
LIFE MANAGEMENT ASSOCIATES
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17601-5896
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-394-6688
Provider Business Practice Location Address Fax Number:
717-394-6804
Provider Enumeration Date:
05/12/2006