LARS M ELLISON

ROCKPORT, ME
NPI1114902749
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: CA  a83598)
Enumeration Date2005-12-06
Last Update Date2007-07-08
Business Address
-- LARS M ELLISON M.D.
3 GLEN COVE DR
ROCKPORT, ME 04856-4232
Phone number: 207-593-5400
Mailing Address
-- LARS M ELLISON M.D.
3 GLEN COVE DR
ROCKPORT, ME 04856-4232
Phone number: 207-593-5400
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