Lars Ulissey is a General Practice Physician based in Morgan, UT. Lars Ulissey practices in Hill Afb, UT. The NPI Number for Lars Ulissey is 1821087420 and holds a License No. A81520 (Utah).
The current practice location address for Lars Ulissey is 7321 11Th St, Hill Afb, UT and can be reached out via phone at 801-777-4710.
Location: 7321 11Th St, Hill Afb, UT, 84050-9758
Provider Profile Details
NPI Number
1821087420
Provider Name
Lars Ulissey
Credential
Provider Entity Type
Individual
Gender
Male
Address
7321 11Th St, Hill Afb, UT, 84050-9758
Phone Number
801-777-4710
Fax Number
Provider Enumeration Date
10/17/2005
Last Update Date
03/08/2024
Provider Business Practice Location Address Details
Address
7321 11Th St
City
State
Zip
84056-5012
Phone Number
801-777-4710
Fax Number
Provider Business Mailing Address Details
Address
7321 11Th St
City
State
Zip
84056-5012
Phone Number
801-777-4710
Fax Number
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A81520 (California)
Definition
Definition to come...
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