Provider Demographics
NPI:1588606347
Name:BURNS, LAWRENCE E (DPM)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:E
Last Name:BURNS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 WOODMONT BLVD
Mailing Address - Street 2:SUITE LL-50
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2245
Mailing Address - Country:US
Mailing Address - Phone:615-386-2361
Mailing Address - Fax:615-386-2399
Practice Address - Street 1:2176 GOLF CLUB LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-1224
Practice Address - Country:US
Practice Address - Phone:615-804-0581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN531213EP1101X, 213E00000X, 332BC3200X, 335E00000X
TN0531213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3146270OtherBLUE CROSS/BLUE SHIELD
TN1104535OtherWINDSOR ADVANTAGE MEDICARE
2226259OtherCIGNA
TN01040363OtherAMERIGROUP MEDICAID
TN3353057Medicaid
4389487OtherAETNA
TN3146270OtherBLUE CROSS/BLUE SHIELD
4389487OtherAETNA