Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lee Michael Tisa, DPM

Individual provider Podiatrist · NPI 1184930745

Dr. Lee Michael Tisa, DPM is a Podiatrist in Lake Geneva, Wisconsin. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2010
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

502 Sue Ann Dr
Lake Geneva, WI 53147-2341
Phone: (262) 248-9727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 016-003410 (IL)

Record details

NPI number1184930745
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedAugust 20, 2010
Last updated in NPPESAugust 20, 2010
Mailing address502 Sue Ann Dr, Lake Geneva, WI 53147-2341

Other providers in Lake Geneva