Individual
ALICIA LAURIE PURDUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BOCO, BOCP
Contact information
Practice address
810 S DURANGO DR STE 100, LAS VEGAS, NV 89145-2487
(702) 932-1300
(702) 848-4990
Mailing address
810 S DURANGO DR STE 100, LAS VEGAS, NV 89145-2487
(702) 932-1300
(702) 848-4990
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
C52329
NV
224P00000X
Prosthetist
C52329
NV
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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