Healthcare Provider Details

I. General information

NPI: 1104441443
Provider Name (Legal Business Name): JUSTIN LAWRENCE BURR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2020
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 22ND AVE
KEARNEY NE
68845-2487
US

IV. Provider business mailing address

4101 TIGER LILY RD STE 100
LINCOLN NE
68516-5587
US

V. Phone/Fax

Practice location:
  • Phone: 308-296-5000
  • Fax: 402-420-6969
Mailing address:
  • Phone: 402-420-7000
  • Fax: 402-420-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number36898
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: