Provider Demographics
NPI:1538498159
Name:LAWRENCE E. BURNS, DPM, INC
Entity type:Organization
Organization Name:LAWRENCE E. BURNS, DPM, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:615-386-2300
Mailing Address - Street 1:104 WOODMONT BLVD
Mailing Address - Street 2:SUITE LL50
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2245
Mailing Address - Country:US
Mailing Address - Phone:615-386-2300
Mailing Address - Fax:615-386-2399
Practice Address - Street 1:4230 HARDING RD
Practice Address - Street 2:SUITE G-12
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-301-7054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0531 DPM332BC3200X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNTN0173OtherAMERICHOICE MCD
TN01040363OtherAMERIGROUP MCD & MCR ADVANTAGE
TN1104535OtherWINDSOR MEDICARE ADVANTAGE
KY7100042140Medicaid
TN3353057Medicaid
TN480029698OtherMEDICARE RAILROAD
TN173095OtherDOL FECA
TN4389487OtherAETNA
TN3146270OtherBLUE CROSS OF TN
TN344395OtherUSA MANAGED CARE
TN2226259OtherCIGNA
TN2226259OtherCIGNA
TN3353057Medicaid