LARS M ELLISON

ROCKPORT, ME
NPI1114902749
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: ME  MD17463)
Additional Taxonomies208800000X Urology
(Licence: CA  a83598)
Enumeration Date2005-12-06
Last Update Date2025-05-20
Business Address
LARS M ELLISON MD
3 GLEN COVE DR STE 3
ROCKPORT, ME 04856-4232
Phone number: 207-301-5400
Mailing Address
LARS M ELLISON MD
3 GLEN COVE DR STE 3
ROCKPORT, ME 04856-4232
Phone number: 207-301-5400