Provider First Line Business Practice Location Address:
112 LEHMAN DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17403-5123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-334-4481
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2006