Healthcare Provider Details

I. General information

NPI: 1538498159
Provider Name (Legal Business Name): LAWRENCE E. BURNS, DPM, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2009
Last Update Date: 12/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4230 HARDING RD SUITE G-12
NASHVILLE TN
37205-2013
US

IV. Provider business mailing address

104 WOODMONT BLVD SUITE LL50
NASHVILLE TN
37205-2245
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number0531 DPM
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number0531 DPM
License Number StateTN

VIII. Authorized Official

Name: DR. LAWRENCE E BURNS
Title or Position: SOLE PROPRIETOR
Credential: DPM
Phone: 615-386-2300