Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alicia Laurie Purdum, BOCO, BOCP

Individual provider Prosthetist · NPI 1043735871

Alicia Laurie Purdum, BOCO, BOCP is a Prosthetist in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2017.

Licensed in
NV
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

810 S Durango Dr Ste 100
Las Vegas, NV 89145-2487
Phone: (702) 932-1300
Fax: (702) 848-4990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X · Licence C52329 (NV)
Prosthetist Taxonomy 224P00000X · Licence C52329 (NV)

Record details

NPI number1043735871
Entity typeIndividual (Type 1)
GenderFemale
Credentials BOCO , BOCP
Sole proprietorNo
NPI enumeratedAugust 14, 2017
Last updated in NPPESJuly 21, 2022

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