MR. SHANE LIETCH

Peer Specialist

Active Individual
NPI: 1295276731

Practice Address

609 ROLLING HILLS TER
Edmond, OK 73012

Phone: (405) 588-2356

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X No -
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1295276731 is the National Provider Identifier for MR. SHANE LIETCH, a Peer Specialist provider located in Edmond, OK. This NPI was enumerated on March 16, 2017.
MR. SHANE LIETCH practices at 609 ROLLING HILLS TER, Edmond, OK 73012.

Quick Facts

NPI
1295276731
Type
Individual
Enumerated
Mar 16, 2017
Last Updated
Apr 18, 2022

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