Individual
LAURA MARIE HEADLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13646 VALENCIA DR, FRISCO, TX 75035-0059
(314) 302-9016
Mailing address
3033 OHIO DR APT 4004, FRISCO, TX 75035-6568
(314) 302-9016
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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