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Individual

DR. LAURIE A RUNNERSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
99 TROY RD STE 201, EAST GREENBUSH, NY 12061-1027
(518) 479-3306
(518) 479-4502
Mailing address
99 TROY RD, SUITE 201, EAST GREENBUSH, NY 12061-1027
(518) 479-3306
(518) 479-4502

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
046-008328
IL
152W00000X
Optometrist
Primary
TU006627-1
NY

Other

Enumeration date
04/05/2006
Last updated
11/28/2016
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