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Lars Ulissey
NPI 1821087420 · on the registry since 2005
Practice
- Address
- 7321 11th St
Bldg 569
Hill Afb, UT 84056 - Phone
- (801) 777-4710
- Organisation at this address
- 75th Medgrp-Hill
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah