Provider Demographics
NPI:1528563954
Name:HAGAN, CAROLINE ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ELIZABETH
Last Name:HAGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:360 S LAFAYETTE ST UNIT 101
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2651
Mailing Address - Country:US
Mailing Address - Phone:318-840-1499
Mailing Address - Fax:
Practice Address - Street 1:155 S MADISON ST STE 226
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3013
Practice Address - Country:US
Practice Address - Phone:303-322-7789
Practice Address - Fax:303-322-0221
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0068986207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology