LISA M TANGUAY, PA, Surgical WATERBURY, CT

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	Specialty Code	Provider Type
Surgical	363AS0400X	97	Physician Assistant
Physician Assistant	363A00000X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for LISA M TANGUAY · (Female)

NPI #	`1659307916`
Status	Active
Credentials	PA (Physician Assistant)
Entity	Individual
Enumeration date	06/25/2006
Last updated	05/07/2026 - About a month ago
Sole proprietor ¹	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(s)	SAINT MARYS HOSPITAL - (Acute Care) 56 FRANKLIN ST WATERBURY, CT 06706

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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LISA M TANGUAY, PA – NPI #1659307916Surgical

Contact Information

Specialty

Surgical

Physician Assistant

NPI Profile & details for LISA M TANGUAY · (Female)

Reviews for LISA M TANGUAY

LISA M TANGUAY, PA – NPI #1659307916
Surgical