Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LEE MICHAEL TISA, D.P.M.
Active Sole ProprietorDR. LEE MICHAEL TISA, D.P.M. is a Podiatrist healthcare provider located in LAKE GENEVA, Wisconsin. NPI 1184930745 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · LAKE GENEVA, WI
Registration Details
- NPI Number
- 1184930745
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2010 (16.020916331801 yrs)
- Last Updated
- Aug 20, 2010
- License
-
016-003410 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
502 SUE ANN DRLAKE GENEVA, WI, 531472341Browse WI providers · Browse ZIP 53147
- Phone
- 2622489727
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in LAKE GENEVA, WI
| Name | Credential | NPI |
|---|---|---|
| MARK E PFEIFER | DPM | 1053472076 |
| ARCHIBALD J LOCH | DPM | 1356781421 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.