DR. Lee Michael Tisa, D.P.M.
NPI #1184930745 in Lake Geneva, Wisconsin
Provider Information
- NPI Number
- 1184930745
- Entity Type
- Individual
- Name
- DR. Lee Michael Tisa, D.P.M.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Podiatrist
- Credential
- D.P.M.
- Enumeration Date
- Aug 20, 2010
- Last Updated
- Aug 20, 2010
Practice Location
- Address
- 502 SUE ANN DR
- City
- Lake Geneva
- State
- Wisconsin
- ZIP Code
- 53147-2341
- Phone
- (262) 248-9727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
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