Individual
LOURDES C BRIZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5200 S WESTNEDGE AVE, PORTAGE, MI 49002-0405
(269) 382-6656
Mailing address
86 SW 8TH ST UNIT 2407, MIAMI, FL 33130-3795
(786) 314-3863
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602028
MI
122300000X
Dentist
DN27599
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2022
Last updated
09/18/2025
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