OCTAVIA JOHNSON

Driver

Active Individual
NPI: 1528949633

Practice Address

7307 W LISBON AVE
Milwaukee, WI 53216

Phone: (920) 441-6238

Specialties

Specialty Code Primary License
Driver 172A00000X Yes -

Frequently Asked Questions

NPI 1528949633 is the National Provider Identifier for OCTAVIA JOHNSON, a Driver provider located in Milwaukee, WI. This NPI was enumerated on September 8, 2025.
OCTAVIA JOHNSON practices at 7307 W LISBON AVE, Milwaukee, WI 53216.

Quick Facts

NPI
1528949633
Type
Individual
Enumerated
Sep 8, 2025
Last Updated
Sep 8, 2025

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