Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John Lawrence Headley, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1528093861

Dr. John Lawrence Headley, MD is an MOHS-Micrographic Surgery Physician in Edmonds, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21600 Highway 99 #280
Edmonds, WA 98026-8012
Phone: (425) 774-2616
Fax: (425) 774-2660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence MD00018010 (WA)

Record details

NPI number1528093861
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 12, 2006
Last updated in NPPESJuly 8, 2007
Mailing address21600 Highway 99, 280, Edmonds, WA 98026-8012

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