Individual provider · Type 1 NPI

Lee Michael Tisa, D.P.M.

Podiatrist · Lake Geneva, WI

NPI number 1184930745 Active

Practice location

502 Sue Ann Dr
Lake Geneva, WI 53147-2341

Specialties and licenses

TaxonomyCodeLicense
Podiatrist Primary 213E00000X016-003410 (IL)

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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About NPI 1184930745

Lee Michael Tisa, D.P.M.'s National Provider Identifier is 1184930745, issued on Aug 20, 2010. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Lake Geneva, WI. The record was last updated on Aug 20, 2010.