National Provider Identifier Database

LISA M TANGUAY, PA – NPI #1659307916
Surgical

Contact Information

LISA M TANGUAY, PA
56 FRANKLIN ST
WATERBURY, CT  06706-1221
Phone: 203-709-6314
Fax: 203-709-6089
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for LISA M TANGUAY

NPI Number 1659307916
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/25/2006
Last updated 05/07/2026 - About a month ago
Sole proprietor1 No
Identifiers
  • CT License #: 000863
  • CT Medicaid: 008010398
  • CT Other: 9886225 AETNA
  • CT Other: 22-59899 AMERICHOICE
  • CT Other: 290000863CT11 ANTHEM BCBS CT
  • CT Other: 080863 CONNECTICARE
  • CT Other: 061470493 COVENTRY/FIRST HEALTH
  • CT Other: 2V1632 HEALTHNET/COMMERCIAL
  • CT Other: P3134207 OXFORD
  • CT Other: 877800 USA
  • CT Other: 208796 WELLCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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