Individual
LILY DOROTHEA RUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-5170
Mailing address
35 S JERGE DR, ELMA, NY 14059-9306
(716) 491-4474
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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