- Practice location
- 3 Glen Cove Dr Ste 3, Rockport, ME 04856-4232
- Phone
- 207-301-5400
- Fax
- 207-301-5301
- Last updated
- May 20, 2025
Lars M Ellison is an Urology based in Rockport, ME. Lars M Ellison practices in Rockport, ME and has the professional credentials of MD. The NPI Number for Lars M Ellison is 1114902749 and holds a License No. MD17463 (ME). The current practice location address for Lars M Ellison is 3 Glen Cove Dr Ste 3, Rockport, ME 04856-4232 and can be reached out via phone at 207-301-5400 and via fax at 207-301-5301.
Provider Profile Details
- NPI Number
- 1114902749
- Provider Name
- Lars M Ellison
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3 Glen Cove Dr Ste 3, Rockport, ME 04856-4232
- Phone Number
- 207-301-5400
- Fax Number
- 207-301-5301
- Primary Taxonomy
- Urology · 208800000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 6, 2005
- Last Update Date
- May 20, 2025
- Certification Date
- May 20, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3 Glen Cove Dr Ste 3
Rockport, ME 04856-4232 - City
- Rockport
- State
- Maine
- Zip
- 04856-4232
- Phone Number
- 207-301-5400
- Fax Number
- 207-301-5301
Provider Business Mailing Address Details
- Address
- 3 Glen Cove Dr Ste 3
Rockport, ME 04856-4232 - City
- Rockport
- State
- ME
- Zip
- 04856-4232
- Phone Number
- 207-301-5400
- Fax Number
- 207-301-5301
License Information
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Urology providers near Rockport, ME
View all Urology providers in Rockport →Frequently Asked Questions
What is the NPI number of Lars M Ellison, MD?
The NPI number of Lars M Ellison, MD is 1114902749. It was assigned on December 6, 2005 and is currently active in the NPPES registry.
What is the specialty of Lars M Ellison, MD?
Lars M Ellison, MD is registered under the primary taxonomy Urology (code 208800000X), licensed in ME under license number MD17463.
Where does Lars M Ellison, MD practice?
The practice location is 3 Glen Cove Dr Ste 3, Rockport, ME 04856-4232. The office can be reached at 207-301-5400 (phone) or 207-301-5301 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114902749 directly on the NPPES registry website.