| Jake Thomas Hollen, MD | |
|
4311 Suffolk St, Lake Charles, LA 70605-3936 | |
| (337) 477-9383 | |
| Not Available |
| Full Name | Jake Thomas Hollen |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 4311 Suffolk St, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457390858 | NPI | - | NPPES |
| 1373150 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 013982 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jake Thomas Hollen, MD 4311 Suffolk St, Lake Charles, LA 70605-3936 Ph: (337) 477-9383 | Jake Thomas Hollen, MD 4311 Suffolk St, Lake Charles, LA 70605-3936 Ph: (337) 477-9383 |
Dr. Carl Wendell Ross Sr., MD General Practice Medicare: Medicare Enrolled Practice Location: 410 Louisiana Ave, Lake Charles, LA 70601 Phone: 337-439-4923 Fax: 337-439-4410 | |
Dr. Jerome J Arimura, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1528 E. Prien Lake Rd., Ste. B, Lake Charles, LA 70601 Phone: 337-479-2057 Fax: 337-479-2099 |