Provider First Line Business Practice Location Address:
3 HOSPITAL DRIVE
Provider Second Line Business Practice Location Address:
SUITE 312
Provider Business Practice Location Address City Name:
LEWISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17837-1783
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-523-8700
Provider Business Practice Location Address Fax Number:
570-523-8705
Provider Enumeration Date:
11/01/2006