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1659307916
LISA MARIE TANGUAY
WATERBURY, CT
NPI
1659307916
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Former Name
LISA MARIE WARYCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 000863)
Enumeration Date
2006-06-25
Last Update Date
2024-03-05
Business Address
LISA MARIE TANGUAY PA
56 FRANKLIN ST
WATERBURY, CT 06706-1221
Phone number: 203-709-6314
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Mailing Address
LISA MARIE TANGUAY PA
56 FRANKLIN ST 3RD FLOOR
WATERBURY, CT 06706-1221
Phone number: 203-709-8873
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