Robert Wakeley, L.P.C

NPI 1245435908 · on the registry since 2007

Practice

Address: 8300 Greensboro Drive
Suite 800
Mc Lean, VA 22102
Phone: (208) 304-7709
Organisation at this address: Life Extension Institute, Inc.
United Medical Management, Inc.
Lumen Dental Of Tysons Corner Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia