Provider First Line Business Practice Location Address:
540 N DUKE ST
Provider Second Line Business Practice Location Address:
SUITE 244
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17602-2374
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-826-9770
Provider Business Practice Location Address Fax Number:
717-945-5177
Provider Enumeration Date:
10/14/2010