HomeNPI Verification

NPI Verification

National Provider Identifier: 1114902749

Lars M Ellison, MD

Individual Provider

Credentials

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Urology

Code: 208800000X

Primary

Urology

Code: 208800000X

Practice Address

3 GLEN COVE DR STE 3

ROCKPORT, ME 048564232

Phone: 207-301-5400

NPI Enumeration Date

December 6, 2005

NPI Number

1114902749

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry