DR. LISA LOUISE BRAILEY


Address: 1 Forest Pkwy, Dianon Systems, Shelton, CT 06484-6147
Phone: 2039267124

DR. LISA LOUISE BRAILEY (NPI# 1285776708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285776708
Entity Type Individual
Full Name DR. LISA LOUISE BRAILEY
Credential M.D.
Practice Address 1 Forest Pkwy
Dianon Systems
Shelton
CT 06484-6147
Mailing Address 21 Grove Ave
Derby
CT 06418-1615
Practice Telephone 2039267124
Mailing Telephone 2039066883
Enumeration Date 2007-02-12
Last Update Date 2010-04-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207SC0300X Medical Genetics
Specialization: Clinical Cytogenetic
041659 CT Allopathic & Osteopathic Physicians
N 207SG0201X Medical Genetics
Specialization: Clinical Genetics (M.D.)
041659 CT Allopathic & Osteopathic Physicians
Y 207SG0203X Medical Genetics
Specialization: Clinical Molecular Genetics
041659 CT Allopathic & Osteopathic Physicians

Office Location

Street Address 1 FOREST PKWY
DIANON SYSTEMS
City SHELTON
State CT
Zip Code 06484-6147

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962480608 Dianon Systems, Inc Clinical Medical Laboratory 1 Forest Pkwy, Shelton, CT 06484-6147 2006-01-04
1841440047 Chandrika Sreekantaiah Medical Genetics, Ph.D. Medical Genetics 1 Forest Pkwy, Shelton, CT 06484-6147 2008-09-24
1659404481 Gary Scott Tennyson Pathology 1 Forest Pkwy, Shelton, CT 06484-6147 2007-03-13

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Taxonomy Information

Taxonomy Code 207SG0203X
Grouping Allopathic & Osteopathic Physicians
Classification Medical Genetics
Specialization Clinical Molecular Genetics

Taxonomy Definition

A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598898900 John Greg Howe Medical Genetics 333 Cedar St, Dept Laboratory Medicine, New Haven, CT 06520-8035 2007-03-14

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City SHELTON
Zip Code 06484

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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