Individual
MR. HAGENT LAWRENCE SHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
19304 AVENIDA DEL SOL, WALNUT, CA 91789-1639
(310) 962-2867
Mailing address
19304 AVENIDA DEL SOL, WALNUT, CA 91789-1639
(310) 962-2867
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3060
WV
363A00000X
Physician Assistant
Primary
53904
CA
363A00000X
Physician Assistant
MA066401
PA
Other
Enumeration date
06/21/2016
Last updated
12/22/2025
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