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 only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as 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:
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Health care specialties

SpecialtyCodeLicense #State
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 Mar 5th, 2024 - about 2 years 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.

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Identifiers

StateTypeNumberIssuer
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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