Individual
LAWRENCE E. BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2176 GOLF CLUB LN, NASHVILLE, TN 37215-1224
(615) 804-0581
Mailing address
104 WOODMONT BLVD, SUITE LL-50, NASHVILLE, TN 37205-2245
(615) 386-2361
(615) 386-2399
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
531
TN
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
531
TN
213ES0103X
Foot & Ankle Surgery Podiatrist
0531
TN
332BC3200X
Customized Equipment (DME)
531
TN
335E00000X
Prosthetic/Orthotic Supplier
531
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01040363
AMERIGROUP MEDICAID
TN
01
—
1104535
WINDSOR ADVANTAGE MEDICARE
TN
01
—
2226259
CIGNA
—
01
—
3146270
BLUE CROSS/BLUE SHIELD
TN
05
—
3353057
—
TN
01
—
4389487
AETNA
—
Enumeration date
06/12/2006
Last updated
08/19/2020
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