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Dr. Lee Michael Tisa, DPM
Podiatrist in Lake Geneva, Wisconsin
NPI 1184930745

Lee Michael Tisa is a Podiatrist based in Lake Geneva, WI. Lee Michael Tisa practices in Lake Geneva, WI and has the professional credentials of DPM. The NPI Number for Lee Michael Tisa is 1184930745 and holds a License No. 016-003410 (Wisconsin).

The current practice location address for Lee Michael Tisa is 502 Sue Ann Dr, Lake Geneva, WI and can be reached out via phone at 262-248-9727.

Location: 502 Sue Ann Dr, Lake Geneva, WI, 53147-2341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184930745
Provider Name
Lee Michael Tisa
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
502 Sue Ann Dr, Lake Geneva, WI, 53147-2341
Phone Number
262-248-9727
Fax Number
Provider Enumeration Date
08/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016003410 05 IL
institution
Provider Business Practice Location Address Details
Address
502 Sue Ann Dr
City
Lake Geneva
State
Wisconsin
Zip
53147-2341
Phone Number
262-248-9727
Fax Number
person
Provider Business Mailing Address Details
Address
502 Sue Ann Dr
City
Lake Geneva
State
Wisconsin
Zip
53147-2341
Phone Number
262-248-9727
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016-003410 (Illinois)
Definition
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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