# RAYMOND ROBERTS, DPM, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeside Family Foot Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295904183
- **Authorized official:** MR. RAYMOND GLENN ROBERTS DPM (PRESIDENT)
- **Authorized official phone:** (775) 825-2533

## Contact information

- **Practice address:** 6580 S MCCARRAN BLVD, STE. D-1, RENO, NV 89509-6112
- **Practice address phone:** (775) 825-2533
- **Practice address fax:** (775) 826-9546
- **Mailing address:** 3495 LAKESIDE DR, \#243, RENO, NV 89509-4841
- **Mailing address phone:** (775) 825-2533
- **Mailing address fax:** (775) 825-1263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 9004 | NV | Yes |

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 06/16/2008