Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARS ULISSEY
ActiveLARS ULISSEY is a General Practice healthcare provider located in HILL AFB, Utah. NPI 1821087420 is currently active in the NPPES registry. Verify at CMS.
General Practice · HILL AFB, UT
Registration Details
- NPI Number
- 1821087420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2005 (20.841644894898 yrs)
- Last Updated
- Jul 8, 2007
- License
-
A81520 (CA)
Practice Information
- Address
-
7321 11TH STBLDG 569HILL AFB, UT, 840565012Browse UT providers · Browse ZIP 84056
- Phone
- 8017774710
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.