Jake Thomas Hollen, M.D.

NPI #1457390858 in Lake Charles, Louisiana

Provider Information

NPI Number: 1457390858
Entity Type: Individual
Name: Jake Thomas Hollen, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Jun 4, 2006
Last Updated: Aug 18, 2010

Practice Location

Address: 4311 SUFFOLK ST
City: Lake Charles
State: Louisiana
ZIP Code: 70605-3936
Phone: (337) 477-9383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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