Graduated: 1997
NPI: 1265425722
Practice Locations (3)
1258 PURDYTOWN TPKE
LAKEVILLE, PA 184386793
5702264444
1258 PURDYTOWN TPKE, SUITE B
LAKEVILLE, PA 184386793
1307 PURDYTOWN TPKE, SUITE B
LAKEVILLE, PA 184386794
Source: CMS National Downloadable File, September 2026.