Provider Demographics
NPI:1568999688
Name:SHAW, SHU-JEN LEE
Entity Type:Individual
Prefix:MS
First Name:SHU-JEN
Middle Name:LEE
Last Name:SHAW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHU-JEN
Other - Middle Name:LEE
Other - Last Name:TOWERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:520 E. TULARE AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292
Mailing Address - Country:US
Mailing Address - Phone:559-623-0900
Mailing Address - Fax:559-713-3756
Practice Address - Street 1:520 E. TULARE AVE.
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292
Practice Address - Country:US
Practice Address - Phone:559-623-0900
Practice Address - Fax:559-733-6643
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-19
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMPSS-RZEFYM175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist