Provider Demographics
NPI:1265392534
Name:LIZARDO, BRANDY
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:LIZARDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5372 BELLE STAR DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-3610
Mailing Address - Country:US
Mailing Address - Phone:719-600-9467
Mailing Address - Fax:
Practice Address - Street 1:5372 BELLE STAR DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-3610
Practice Address - Country:US
Practice Address - Phone:719-600-9467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula