Graduated: 1983
NPI: 1962495424
Practice Locations (3)
PO BOX C, 1051 MOUNTAINVIEW DRIVE
Lehman, PA 186270903
1051 MOUNTAINVIEW DR, BOX C
LEHMAN, PA 186270903
5706754545
C PO BOX
LEHMAN, PA 186270903
Source: CMS National Downloadable File, September 2026.