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Jake Thomas Hollen, MD
General Practice Physician in Lake Charles, Louisiana
NPI 1457390858

Jake Thomas Hollen is a General Practice Physician based in Lake Charles, LA. Jake Thomas Hollen practices in Lake Charles, LA and has the professional credentials of MD. The NPI Number for Jake Thomas Hollen is 1457390858 and holds a License No. 013982 (Louisiana).

The current practice location address for Jake Thomas Hollen is 4311 Suffolk St, Lake Charles, LA and can be reached out via phone at 337-477-9383.

Location: 4311 Suffolk St, Lake Charles, LA, 70605-3936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457390858
Provider Name
Jake Thomas Hollen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4311 Suffolk St, Lake Charles, LA, 70605-3936
Phone Number
337-477-9383
Fax Number
Provider Enumeration Date
06/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1373150 05 LA
institution
Provider Business Practice Location Address Details
Address
4311 Suffolk St
City
Lake Charles
State
Louisiana
Zip
70605-3936
Phone Number
337-477-9383
Fax Number
person
Provider Business Mailing Address Details
Address
4311 Suffolk St
City
Lake Charles
State
Louisiana
Zip
70605-3936
Phone Number
337-477-9383
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
013982 (Louisiana)
Definition
Definition to come...
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