Provider First Line Business Practice Location Address:
3 HOSPITAL DR
Provider Second Line Business Practice Location Address:
SUITE 318
Provider Business Practice Location Address City Name:
LEWISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17837-9362
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-522-5033
Provider Business Practice Location Address Fax Number:
570-522-4480
Provider Enumeration Date:
10/27/2006