Lars Ulissey

NPI #1821087420 in Hill Afb, Utah

Provider Information

NPI Number: 1821087420
Entity Type: Individual
Name: Lars Ulissey
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: General Practice
Enumeration Date: Oct 17, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 7321 11TH ST
Address 2: BLDG 569
City: Hill Afb
State: Utah
ZIP Code: 84056-5012
Phone: (801) 777-4710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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