MEDICARE: ALECIA HAGMAN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	287957	MA

General Provider Information

NPI Number	:	1508361437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALECIA HAGMAN DO

Provider Business Mailing Address
First Line	:	338 S DAKOTA AVE
Second Line	:
City	:	VANDENBERG AFB
State	:	CA
Zip	:	93437-6307
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	338 S DAKOTA AVE STE I-356
Second Line	:
City	:	VANDENBERG AFB
State	:	CA
Zip	:	93437-6317
Country	:	US
Telephone Number	:	999-999-9999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2018
Last Update Date	:	10/16/2025

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