Individual
IYANNA ATWELL LILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 ASYLUM AVE RM 1026, HARTFORD, CT 06105-1701
(860) 714-4440
(860) 714-8012
Mailing address
1000 ASYLUM AVE RM 1026, HARTFORD, CT 06105-1701
(860) 714-4440
(860) 714-8012
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
60228
CT
Other
Enumeration date
04/07/2014
Last updated
06/04/2019
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