NPI 1114902749

Lars M Ellison, MD

Practitioner Urology Physician Rockport, ME

Practice location

Address: 3 Glen Cove Dr STE 3, Rockport, ME 04856-4232
Phone: (207) 301-5400
Fax: (207) 301-5301

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD17463 (ME)

Other Urology providers in Maine →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence A83598 (CA)

Registry record

NPI: 1114902749
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Dec 2005
Record last updated: 20 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.