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Active NPI 1821087420 Individual Practitioner Male Practitioner

Lars Ulissey

General Practice • Hill Afb, UT

Professional Overview & Biography Verified Profile Summary

Lars Ulissey is a registered healthcare professional specializing in General Practice in Hill Afb, UT. Practice services are available at 7321 11TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7321 11th St
Bldg 569

Hill Afb, UT 840565012

Telephone 8017774710
Associated Practice Facility / Clinic
🏢 75th Medgrp-Hill Facility NPI 1912971441

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Hill Afb, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Hill Afb, UT (66 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA A81520

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Patrick Scollon

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1134748692
Dr. Lee Beyer , MD, MPH, TM

Preventive Medicine - Public Health & General Preventive Medicine

NPI 1154310308

Doctor of Medicine (M.D.), Master of Public Health, TM

Dr. Linda Angotti , FNP, DNP

Nurse Practitioner - Family

NPI 1154921302

Family Nurse Practitioner, Doctor of Nursing Practice

Patricia Mottram , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1295962207
Dane Tackitt , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1366672750
Vanessa Jones

Nurse Practitioner - Family

NPI 1376108381

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 7321 11TH ST, BLDG 569, HILL AFB, UT 840565012 (Tel: 8017774710)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5914 HIGHLAND DR, MORGAN, UT 840509758

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LARS ULISSEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #A81520 in CA)

🟢
Initial NPI Registration & Enumeration October 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821087420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

5914 Highland Dr

Morgan, UT 840509758

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.