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NPI Code Detail

MEDICARE: JAVONNA LANA MCMILLIAN

MEDICARE:   JAVONNA LANA MCMILLIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376J00000XHomemaker4807472OH

General Provider Information

NPI Number : 1447185723
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAVONNA LANA MCMILLIAN
Provider Business Mailing Address
First Line : 4035 WETZLER RD
Second Line :
City : TOLEDO
State : OH
Zip : 43612-1642
Country : US
Telephone Number : 419-215-1196
Fax Number :
Provider Business Practice Location Address
First Line : 4035 WETZLER RD
Second Line :
City : TOLEDO
State : OH
Zip : 43612-1642
Country : US
Telephone Number : 419-215-1196
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/24/2026

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Directions to “ JAVONNA LANA MCMILLIAN ” Practice Location

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