Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | 64994 | CT |
Y | 2084N0402X | Child Neurologist | MD463899 | PA |
NPI | 1356611875 |
---|---|
Provider Name | Lila Worden |
First Address | Farmington, CT 06032-1901 |
Second Address | Hartford, CT 06106-3322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2012 |
Last Update Date | 07/08/2020 |