Lisa I Zientek | Shawnee, OK • PECOS Search

Lisa I Zientek

Case Manager/Care Coordinator

Other Service Providers

108 Rene Pl, Shawnee, OK 74804-8980

PECOS Enrollment

Based on the most recent information from CMS, provider Lisa I Zientek does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1225527278
Provider Type
Individual
Full Name
Zientek, Lisa I
Title
Ms.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/4/2018
Last Updated
5/4/2018

Contact Information

Practice Location

108 Rene Pl, Shawnee, OK 74804-8980

Unlisted Fax

Mailing Location

108 Rene Pl, Shawnee, OK 74804-8980

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer