Individual provider · Type 1 NPI

Lars Ulissey

General Practice Physician · Hill Afb, UT

NPI number 1821087420 Active

Practice location

7321 11th St, Bldg 569
Hill Afb, UT 84056-5012

Call (801) 777-4710 Map

Mailing address

5914 Highland Dr
Morgan, UT 84050-9758

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XA81520 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

13 other providers at this address

About NPI 1821087420

Lars Ulissey's National Provider Identifier is 1821087420, issued on Oct 17, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Hill Afb, UT. The record was last updated on Jul 13, 2026.