Provider First Line Business Practice Location Address:
250 COLLEGE AVE
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:
17603-3363
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-988-0000
Provider Business Practice Location Address Fax Number:
717-782-5716
Provider Enumeration Date:
06/13/2006