NPI 1023805280

Larry Davion Sephus

Practitioner Contractor Milwaukee, WI

Practice location

Address: 5838 N 117th St, Milwaukee, WI 53225-2208
Phone: (414) 514-4555

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1023805280
Entity type: Individual
Sex (as registered): X
NPI issued: 22 Apr 2025
Record last updated: 22 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.