Tanguay, Lisa Marie
Tanguay, Lisa Marie is an individual health care provider with primary practice located at 56 Franklin St , Waterbury CT 06706-1221. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Tanguay, Lisa Marie can be contacted via phone (203) 709-6314.Contact Information
Primary practice address
56 Franklin St
Waterbury CT 06706-1221
Phone: (203) 709-6314
Fax: (203) 709-6089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 000863 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 000863 | Connecticut |
Profile Details
| NPI number | 1659307916 |
|---|---|
| LBN Legal business name | Tanguay, Lisa Marie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | May 7th, 2026 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659307916 | NPPES |
| Connecticut | Other | 061470493 | COVENTRY/FIRST HEALTH |
| Connecticut | Other | 080863 | COVENTRY/FIRST HEALTH |
| Connecticut | Other | 290000863CT11 | COVENTRY/FIRST HEALTH |
| Connecticut | Other | 2V1632 | COVENTRY/FIRST HEALTH |
| Connecticut | MEDICAID | 008010398 | COVENTRY/FIRST HEALTH |
| Connecticut | Other | 208796 | COVENTRY/FIRST HEALTH |
| Connecticut | Other | 22-59899 | COVENTRY/FIRST HEALTH |
| Connecticut | Other | 877800 | COVENTRY/FIRST HEALTH |
| Connecticut | Other | 9886225 | COVENTRY/FIRST HEALTH |
| Connecticut | Other | P3134207 | COVENTRY/FIRST HEALTH |
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