SearchOklahoma175T00000X

Shane Lietch

NPI 1295276731 · on the registry since 2017 · sole proprietor

Practice

Address
609 Rolling Hills Ter
Edmond, OK 73012
Phone
(405) 588-2356

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
171M00000X
Sex
Male
Record last updated
2022-04-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma