Individual
LEASA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
922 BUTTERFLY WAY, NORMAN, OK 73069-5470
(620) 309-9060
Mailing address
922 BUTTERFLY WAY, NORMAN, OK 73069-5470
(620) 309-9060
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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