Provider First Line Business Practice Location Address:
1525 OLD SCHOOLHOUSE ROAD
Provider Second Line Business Practice Location Address:
SUITE 1201
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-393-5524
Provider Business Practice Location Address Fax Number:
717-393-5524
Provider Enumeration Date:
03/27/2020