Provider Demographics
NPI:1922153584
Name:BAIRD, LORI LEE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:LEE
Last Name:BAIRD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:LEE
Other - Last Name:POMERANTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:222 ROBERTSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-1034
Mailing Address - Country:US
Mailing Address - Phone:254-702-9998
Mailing Address - Fax:
Practice Address - Street 1:DARNALL ARMY MEDICAL CENTER
Practice Address - Street 2:36000 DARNALL LOOP
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-288-8731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX411991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical