Dr. Lisa Louise Brailey
Clinical Genetics (M.D.)
1 Forest Pkwy Dianon Systems
Shelton
, Connecticut 06484-6147
Dr. Lisa Louise Brailey
Clinical Genetics (M.D.)
1 Forest Pkwy Dianon Systems
Shelton
, Connecticut 06484-6147
(203) 906-6883
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Dr. Lisa Louise Brailey
- 21 Grove Ave
- Derby, CT
- Zip : 06418-1615
- Phone : (203) 906-6883
Second Address
- Dr. Lisa Louise Brailey
- 1 Forest Pkwy Dianon Systems
- Shelton, CT
- Zip : 06484-6147
- Phone : (203) 926-7124
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207SG0201X | Clinical Genetics (M.D.) | 041659 | CT |
National Provider Identifier
| NPI | 1285776708 |
|---|---|
| Provider Name | Dr. Lisa Louise Brailey |
| First Address | Derby, CT 06418-1615 |
| Second Address | Shelton, CT 06484-6147 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/02/2007 |
| Last Update Date | 23/04/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.