Mr. Shane Lietch
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 TerEdmond, OK 73012-6611
Phone: (405) 588-2356
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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 number | 1295276731 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 16, 2017 |
| Last updated in NPPES | April 18, 2022 |
| Certification date | April 18, 2022 |
| Mailing address | 11998 E 223rd St S, Porum, OK 74455-4081 |
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