Lea Bonifacio Penales
Neonatal-Perinatal Doctor
2520 Bert Kouns Loop Suite 215
Shreveport
, Louisiana 71118-3130
Lea Bonifacio Penales
Neonatal-Perinatal Doctor
2520 Bert Kouns Loop Suite 215
Shreveport
, Louisiana 71118-3130
(318) 212-4153
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About
Features
Specialties
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Lea Bonifacio Penales
- 1202 Louisiana Ave
- Shreveport, LA
- Zip : 71101-3910
- Fax : (318) 212-4153
- Phone : (318) 212-8946
Second Address
- Lea Bonifacio Penales
- 2520 Bert Kouns Loop Suite 215
- Shreveport, LA
- Zip : 71118-3130
- Fax : (318) 212-5975
- Phone : (318) 212-5970
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080N0001X | Neonatal-Perinatal Doctor | 203321 | LA |
| N | 2080N0001X | Neonatal-Perinatal Doctor | 40150 | CT |
| N | 2080N0001X | Neonatal-Perinatal Doctor | 4301084897 | MI |
| N | 2080N0001X | Neonatal-Perinatal Doctor | MA73968 | NJ |
National Provider Identifier
| NPI | 1003809211 |
|---|---|
| Provider Name | Lea Bonifacio Penales |
| First Address | Shreveport, LA 71101-3910 |
| Second Address | Shreveport, LA 71118-3130 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2005 |
| Last Update Date | 07/12/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1816680 | (05) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.