Dr. Lee Michael Tisa is a Lake Geneva, Wisconsin based podiatrist who is specialized in Podiatry. Active license number of Dr. Lee Michael Tisa for Podiatry is 016-003410 in Illinois.
Dr. Lee Michael Tisa is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Lee Michael Tisa speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | D.P.M. |
| Gender: | Male |
| Practice Address: | 502 Sue Ann Dr, Lake Geneva,
Wisconsin, 53147-2341 |
| Phone: | 262-248-9727 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1184930745 |
| NPI Enumeration Date: | 20 Aug, 2010 |
| NPI Last Update On: | 20 Aug, 2010 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lee Michael Tisa are as mentioned below.
| License Number | Specialization | State | Status | |
| 016-003410 | Podiatry | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Lee Michael Tisa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 016003410 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 502 Sue Ann Dr,
Lake Geneva, Wisconsin |
| Zip: | 53147-2341 |
| Phone Number: | 262-248-9727 |
| Fax Number: | -- |
Patients can reach Dr. Lee Michael Tisa at
502 Sue Ann Dr, Lake Geneva, Wisconsin or can
call to book an appointment on 262-248-9727.
Comments/ Reviews:
Patients can read all the reviews posted for Dr. Lee Michael Tisa below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Dr. Lee Michael Tisa. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.