Provider Demographics
NPI:1184905978
Name:LANGLEY, LEIGH (PA-C)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:LANGLEY
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:
Other - Last Name:DESOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1330
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-1330
Mailing Address - Country:US
Mailing Address - Phone:405-307-3026
Mailing Address - Fax:405-515-5114
Practice Address - Street 1:2821 36TH AVE NW STE 150
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-2489
Practice Address - Country:US
Practice Address - Phone:405-307-3300
Practice Address - Fax:405-307-3399
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1756133V00000X
OK2596363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered