Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 531 | TN |
N | 222Z00000X | Podiatrist | 531 | TN |
Y | 213EP1101X | Primary Podiatric Medicine | 531 | TN |
N | 213ES0103X | Foot & Ankle Surgery | 0531 | TN |
NPI | 1588606347 |
---|---|
Provider Name | Lawrence E. Burns |
First Address | Nashville, TN 37205-2245 |
Second Address | Nashville, TN 37215-1224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 19/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01040363 | AMERIGROUP MEDICAID (01) | TN |
1104535 | WINDSOR ADVANTAGE MEDICARE (01) | TN |
2226259 | CIGNA (01) | |
3146270 | BLUE CROSS/BLUE SHIELD (01) | TN |
3353057 | (05) | TN |
4389487 | AETNA (01) | |
T36998 | (02) |