Lars M Ellison, MD
Urology in Rockport, ME. Individual provider (NPI-1).
NPI number1114902749
StatusActive
Last updated in NPPESMay 20, 2025
Details
- NPI
- 1114902749
- Entity type
- Individual (NPI-1)
- Name
- Lars M Ellison
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2005
- Certification date
- May 20, 2025
- Last updated
- May 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | MD17463 | ME | Yes |
| 208800000X | Urology | a83598 | CA |
Practice location
3 Glen Cove Dr Ste 3Rockport, ME 04856-4232
Phone 207-301-5400 · Fax 207-301-5301
Mailing address
3 Glen Cove Dr Ste 3Rockport, ME 04856-4232
Phone 207-301-5400 · Fax 207-301-5301
Other practice locations
125 Northport Ave Ste 106
Belfast, ME 04915-6002
Belfast, ME 04915-6002
Phone 207-505-4080 · Fax 207-800-4338
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Urology providers in Rockport, ME
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.