Individual provider · Type 1 NPI

Lily Dorothea Rundquist, DO

Student in an Organized Health Care Education/Training Program · Hartford, CT

NPI number 1710828249 Active

Practice location

114 Woodland St
Hartford, CT 06105-1208

Call (860) 714-5170 Map

Mailing address

35 S Jerge Dr
Elma, NY 14059-9306

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710828249

Lily Dorothea Rundquist, DO's National Provider Identifier is 1710828249, issued on Apr 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hartford, CT. The record was last updated on Apr 1, 2026.