Provider Demographics
NPI:1538021944
Name:BURNS, LAURA LYNN (APRN)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:LYNN
Last Name:BURNS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 BALMORAL WAY
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-2406
Mailing Address - Country:US
Mailing Address - Phone:435-901-8738
Mailing Address - Fax:
Practice Address - Street 1:1013 BALMORAL WAY
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-2406
Practice Address - Country:US
Practice Address - Phone:435-901-8738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-25
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11043874207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine