| NPI | 1295904183 |
|---|---|
| Doing Business As | LAKESIDE FAMILY FOOT CARE |
| Entity Type | Organization |
| Authorized Contact | RAYMOND GLENN ROBERTS President 775-825-2533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NV 9004) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-06-16 |