Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Shane Lietch

Individual provider Case Manager/Care Coordinator · NPI 1295276731

Mr. Shane Lietch is a Case Manager/Care Coordinator in Edmond, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

609 Rolling Hills Ter
Edmond, OK 73012-6611
Phone: (405) 588-2356
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1295276731
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 16, 2017
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022
Mailing address11998 E 223rd St S, Porum, OK 74455-4081

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