Individual provider · Type 1 NPI
Jake Thomas Hollen, MD
General Practice Physician · Lake Charles, LA
NPI number
1457390858
Active
Practice location
4311 Suffolk St
Lake Charles, LA 70605-3936
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 013982 (LA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Lake Charles
About NPI 1457390858
Jake Thomas Hollen, MD's National Provider Identifier is 1457390858, issued on Jun 4, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lake Charles, LA. The record was last updated on Aug 18, 2010.