Individual
LEA BONIFACIO PENALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2520 BERT KOUNS LOOP, SUITE 215, SHREVEPORT, LA 71118-3130
(318) 212-5970
(318) 212-5975
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-8946
(318) 212-4153
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
203321
LA
2080N0001X
Neonatal-Perinatal Medicine Physician
40150
CT
2080N0001X
Neonatal-Perinatal Medicine Physician
4301084897
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
MA73968
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1816680
—
LA
Enumeration date
08/24/2005
Last updated
12/07/2015
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