DR. LEE TISA, D.P.M.
Podiatrist
Active
Individual
NPI: 1184930745
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist | 213E00000X | Yes | 016-003410 (IL) |
Frequently Asked Questions
NPI 1184930745 is the National Provider Identifier for DR. LEE TISA, D.P.M., a Podiatrist provider located in Lake Geneva, WI. This NPI was enumerated on August 20, 2010.
DR. LEE TISA, D.P.M. practices at 502 SUE ANN DR, Lake Geneva, WI 53147.
Quick Facts
- NPI
- 1184930745
- Type
- Individual
- Enumerated
- Aug 20, 2010
- Last Updated
- Aug 20, 2010
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