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Individual

DR. LISA LOUISE BRAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 FOREST PKWY, DIANON SYSTEMS, SHELTON, CT 06484-6147
(203) 926-7124
Mailing address
21 GROVE AVE, DERBY, CT 06418-1615
(203) 906-6883

Taxonomy

Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
041659
CT
207SG0201X
Clinical Genetics (M.D.) Physician
041659
CT
207SG0203X
Clinical Molecular Genetics Physician
Primary
041659
CT

Other

Enumeration date
02/12/2007
Last updated
04/23/2010
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