IndividualActive
Leasa Anderson
NPI 1649863432 · Supports Brokerage Agency · Norman, OK
Provider details
- NPI number
- 1649863432
- Entity type
- Individual
- Primary specialty
- Supports Brokerage AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
922 Butterfly Way
Norman, OK 73069-5470
Phone: (620) 309-9060
Approximate (ZIP-level) locationGet directions
Mailing address
922 Butterfly Way
Norman, OK 73069-5470
Registry dates
- Enumerated
- 2021-02-12
- Last updated
- 2021-02-12
- Certified
- 2021-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.