John Lawrence Headley, M.D.

MOHS-Micrographic Surgery Physician · Edmonds, WA

Individual Active NPI

NPI number 1528093861

Practice location

21600 Highway 99
#280
Edmonds, WA 98026-8012
Phone
(425) 774-2616
Fax
(425) 774-2660

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NPI record

NPI
1528093861
Entity type
Individual (Type 1)
Enumeration date
July 12, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
MOHS-Micrographic Surgery Physician Primary 207ND0101X MD00018010 WA

About Dr. Headley

John Lawrence Headley, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy MOHS-Micrographic Surgery Physician (code 207ND0101X). The practice location is 21600 Highway 99, #280, Edmonds, WA 98026-8012. The NPI number 1528093861 was assigned on July 12, 2006 and the record was last updated on July 8, 2007.

Dr. Headley lists a license in the registry: #MD00018010 (WA) for MOHS-Micrographic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Lawrence Headley, M.D.?

The NPI number is 1528093861.

What is the phone number of Dr. Headley?

The phone number listed for the practice location is (425) 774-2616.

Where is Dr. Headley located?

21600 Highway 99, #280, Edmonds, WA 98026-8012.

What is the taxonomy code for Dr. Headley?

The primary taxonomy code is 207ND0101X – MOHS-Micrographic Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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