Provider Demographics
NPI:1215486303
Name:BURKE, LAUREN JANE (MS OTR/L)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:JANE
Last Name:BURKE
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:JANE
Other - Last Name:VOGL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1620 FILLMORE ST
Mailing Address - Street 2:APT. 421
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1616
Mailing Address - Country:US
Mailing Address - Phone:406-980-0523
Mailing Address - Fax:
Practice Address - Street 1:12080 BELLAIRE WAY
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80241-3600
Practice Address - Country:US
Practice Address - Phone:303-450-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-29
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0004762225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist