LAURIE A RUNNERSTROM OD

Dr LAURIE A RUNNERSTROM OD is a female medical professional, specializing in Optometry. She graduated in 1990 from Illinois College Of Optometry At Chicago.

Contact

4 SPRINGHURST DR
SUITE 108
EAST GREENBUSH
NY
120612233

Tel: 5184793306

LAURIE A RUNNERSTROM OD Information

Npi 1922060888
Pac Id 7911995535
Professional Enrollment Id I20040503001596
Last Name RUNNERSTROM
First Name LAURIE
Middle Name A
Suffix
Gender F
Credential OD
Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year 1990
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 4 SPRINGHURST DR
Line 2 Street Address SUITE 108
Marker Of Address Line 2 Suppression
City EAST GREENBUSH
State NY
Zip Code 120612233
Phone Number 5184793306
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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