Provider First Line Business Practice Location Address:
554 N DUKE ST
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:
17602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-291-5863
Provider Business Practice Location Address Fax Number:
717-392-6915
Provider Enumeration Date:
03/23/2006