Lars Ulissey

General Practice Physician · Hill Afb, UT

Individual Active NPI

NPI number 1821087420

Practice location

7321 11TH St
Bldg 569
Hill Afb, UT 84056-5012
Phone
(801) 777-4710

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NPI record

NPI
1821087420
Entity type
Individual (Type 1)
Enumeration date
October 17, 2005
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X A81520 CA

Mailing address

5914 Highland Dr
Morgan, UT 84050-9758

About Lars Ulissey

Lars Ulissey is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 7321 11TH St, Bldg 569, Hill Afb, UT 84056-5012. The NPI number 1821087420 was assigned on October 17, 2005 and the record was last updated on July 13, 2026.

Lars Ulissey lists a license in the registry: #A81520 (CA) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lars Ulissey?

The NPI number is 1821087420.

What is the phone number of Lars Ulissey?

The phone number listed for the practice location is (801) 777-4710.

Where is Lars Ulissey located?

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

What is the taxonomy code for Lars Ulissey?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.