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

Mr. Lawrence Carlyle Headley, RD

Individual provider Registered Dietitian · NPI 1952804999

Mr. Lawrence Carlyle Headley, RD is a Registered Dietitian in Hayward, California. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

30972 Meadowbrook Ave
Hayward, CA 94544-7544
Phone: (954) 655-3696
Fax: (510) 400-9095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 707397 (IL)

Record details

NPI number1952804999
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorYes
NPI enumeratedMarch 15, 2018
Last updated in NPPESMarch 15, 2018

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