Provider First Line Business Practice Location Address:
2301 HARRISBURG PIKE
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17601-2415
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-393-7771
Provider Business Practice Location Address Fax Number:
717-393-7328
Provider Enumeration Date:
02/10/2006