Provider First Line Business Practice Location Address:
1820 MUNICIPAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17601-4105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-569-6622
Provider Business Practice Location Address Fax Number:
717-560-9913
Provider Enumeration Date:
08/17/2005