Individual provider · Type 1 NPI

Lars M. Ellison, MD

Urology Physician · Rockport, ME

NPI number 1114902749 Active

Practice location

3 Glen Cove Dr Ste 3
Rockport, ME 04856-4232

Fax (207) 301-5301

Other practice locations

  • 125 Northport Ave Ste 106, Belfast, ME 04915-6002 · (207) 505-4080

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XMD17463 (ME)
Urology Physician 208800000XA83598 (CA)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

4 other providers at this address

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About NPI 1114902749

Lars M. Ellison, MD's National Provider Identifier is 1114902749, issued on Dec 6, 2005. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Rockport, ME. The record was last updated on May 20, 2025.