# LISA MARIE TANGUAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659307916
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 000863 | CT | — |
| 363AS0400X | Surgical Physician Assistant | 000863 | CT | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 05/07/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008010398 | — | CT |
| 01 | — | 061470493 | COVENTRY/FIRST HEALTH | CT |
| 01 | — | 080863 | CONNECTICARE | CT |
| 01 | — | 208796 | WELLCARE | CT |
| 01 | — | 22-59899 | AMERICHOICE | CT |
| 01 | — | 290000863CT11 | ANTHEM BCBS CT | CT |
| 01 | — | 2V1632 | HEALTHNET/COMMERCIAL | CT |
| 01 | — | 877800 | USA | CT |
| 01 | — | 9886225 | AETNA | CT |
| 01 | — | P3134207 | OXFORD | CT |