Individual provider · Type 1 NPI

Lisa Marie Tanguay, PA

Surgical Physician Assistant · Waterbury, CT

NPI number 1659307916 Active

Practice location

56 Franklin St
Waterbury, CT 06706-1221

Call (203) 709-6314 Map

Fax (203) 709-6089

Other practice locations

  • 133 Scovill St, Waterbury, CT 06706-1127 · (203) 709-6680

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X000863 (CT)
Surgical Physician Assistant Primary 363AS0400X000863 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1659307916

Lisa Marie Tanguay, PA's National Provider Identifier is 1659307916, issued on Jun 25, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Waterbury, CT. The record was last updated on May 7, 2026.