Provider First Line Business Practice Location Address:
2112 HARRISBURG PIKE STE 1
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:
17601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-544-3577
Provider Business Practice Location Address Fax Number:
717-544-3579
Provider Enumeration Date:
07/03/2008