Graduated: 2001
NPI: 1922169200
Practice Locations (3)
662 ROUTE 739
LORDS VALLEY, PA 184286085
662 ROUTE 739, SUITE 2
LORDS VALLEY, PA 18428
662 ROUTE 739, SUITE 2
LORDS VALLEY, PA 184286085
5707756205
Source: CMS National Downloadable File, September 2026.