Provider Demographics
NPI:1821315946
Name:BAKER, LORI DAWN (OTR)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:DAWN
Last Name:BAKER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:DAWN
Other - Last Name:SMOOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:2680 18TH STREET
Mailing Address - Street 2:SUITE150A
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211
Mailing Address - Country:US
Mailing Address - Phone:303-433-0852
Mailing Address - Fax:
Practice Address - Street 1:2680 18TH STREET
Practice Address - Street 2:SUITE150A
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211
Practice Address - Country:US
Practice Address - Phone:303-433-0852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2898225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics