Provider First Line Business Practice Location Address:
610 HIGH ST
Provider Second Line Business Practice Location Address:
SPECIALISTS CLINIC
Provider Business Practice Location Address City Name:
LOCK HAVEN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17745-3018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-748-1270
Provider Business Practice Location Address Fax Number:
570-748-1271
Provider Enumeration Date:
11/23/2006