Dr. Lee Michael Tisa is a Lake Geneva, Wisconsin based male 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:
Podiatrist
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:
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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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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