What is Lee Tisa's NPI number?

Lee Tisa's National Provider Identifier (NPI) is 1184930745, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Lee Tisa's specialty?

Lee Tisa is listed in the NPPES registry with a primary specialty of Podiatrist (Podiatric Medicine & Surgery Service Providers).

Where is Lee Tisa located?

Lee Tisa's practice location on file with NPPES is 502 Sue Ann Dr, Lake Geneva, WI 53147-2341.

What is Lee Tisa's phone number?

The practice phone number listed in the NPPES registry for Lee Tisa is (262) 248-9727.

Is Lee Tisa's NPI active?

Yes — Lee Tisa's NPI (1184930745) is active in the NPPES registry as of the last update on 2010-08-20.

IndividualActive

Lee Tisa, D.P.M.

NPI 1184930745 · Podiatrist · Lake Geneva, WI

Lee Tisa, D.P.M. is a Podiatrist provider in Lake Geneva, WI (NPI 1184930745).

Provider details

NPI number: 1184930745
Entity type: Individual
Primary specialty: PodiatristPodiatric Medicine & Surgery Service Providers
Credential: D.P.M.
Sex: Male
Sole proprietor: Yes
License: 016-003410 (IL)

Specialties & taxonomies

PodiatristPrimary213E00000XLicense 016-003410 (IL)
Podiatric Medicine & Surgery Service Providers

Profile Score

Detailed profile(83/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

502 Sue Ann Dr

Lake Geneva, WI 53147-2341

Phone: (262) 248-9727

Street-level locationGet directions

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Mailing address