Provider First Line Business Practice Location Address:
1100 LAUREL OAK RD
Provider Second Line Business Practice Location Address:
LIONS GATE HEALTH CENTER
Provider Business Practice Location Address City Name:
VOORHEES
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08043-4363
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-679-2270
Provider Business Practice Location Address Fax Number:
856-667-5042
Provider Enumeration Date:
08/01/2006