Healthcare Provider Details

I. General information

NPI: 1891009510
Provider Name (Legal Business Name): LAWRENCE E. BURNS, DPM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2010
Last Update Date: 03/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4230 HARDING RD SUITE G12
NASHVILLE TN
37205-2013
US

IV. Provider business mailing address

104 WOODMONT BLVD LL50
NASHVILLE TN
37205-2245
US

V. Phone/Fax

Practice location:
  • Phone: 615-301-7054
  • Fax: 615-386-2399
Mailing address:
  • Phone: 615-386-2300
  • Fax: 615-386-2399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberDPM 531
License Number StateTN

VIII. Authorized Official

Name: LAWRENCE E BURNS
Title or Position: OWNER
Credential: DPM
Phone: 615-301-7054