DR. LEE MICHAEL TISA D.P.M.
NPI 1184930745
Podiatrist in Lake Geneva, WI

Q: What is Lee Tisa's NPI number?

The NPI number for Lee Tisa is 1184930745. It was assigned to this individual provider in the NPPES registry on August 20, 2010.

Q: What is Lee Tisa's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Lee Tisa was last updated on August 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 20, 2010

502 SUE ANN DR, LAKE GENEVA, WI 53147(262) 248-9727 Get Directions Write a Review

NPPES record last updated: August 20, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Lee Michael Tisa D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEE MICHAEL TISA D.P.M. (NPI 1184930745) is an individual podiatrist in Lake Geneva, Wisconsin, licensed in Illinois (016-003410) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1184930745

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameDR. LEE MICHAEL TISACredential: D.P.M.

Location Address502 SUE ANN DRLake Geneva, WI 53147-2341

Mailing Address502 Sue Ann DrLake Geneva, WI 53147-2341 · (262) 248-9727

Phone(262) 248-9727

Sole ProprietorYes

Enumeration DateAugust 20, 2010

✔ NPI 1184930745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in IL · 016-003410

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.

502 SUE ANN DR, Lake Geneva, WI 53147

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Other Identifiers 2

Medicare UPINT37883IL

Medicaid016003410IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee Tisa's NPI number?

The NPI number for Lee Tisa is 1184930745. It was assigned to this individual provider in the NPPES registry on August 20, 2010.

Where is Lee Tisa located?

Lee Tisa practices at 502 Sue Ann Dr, Lake Geneva, WI 53147. The listed phone number is (262) 248-9727.

What is Lee Tisa's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Lee Tisa was last updated on August 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.