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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAKE THOMAS HOLLEN, M.D.

Active Sole Proprietor

JAKE THOMAS HOLLEN, M.D. is a General Practice healthcare provider located in LAKE CHARLES, Louisiana. NPI 1457390858 is currently active in the NPPES registry. Verify at CMS.

General Practice · LAKE CHARLES, LA

Registration Details

NPI Number
1457390858
Provider Type
Individual
Gender
Male
NPI Issued
Jun 4, 2006 (20.169790435658 yrs)
Last Updated
Aug 18, 2010
License
013982 (LA)
Sole Proprietor
Yes

Practice Information

Address
4311 SUFFOLK ST
LAKE CHARLES, LA, 706053936
Browse LA providers · Browse ZIP 70605
Phone
3374779383
Primary Specialty
General Practice
208D00000X

Other General Practice Providers in LAKE CHARLES, LA

Name Credential NPI
MR. JON HARVEY GRAY M.D. 1356322077
DR. JEROME J ARIMURA M.D. 1962461756
DR. CARL WENDELL ROSS SR. MD 1295788370
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.