Lea Bonifacio Penales
MD | Pediatric Neonatal-Perinatal Medicine | Female
Lea Bonifacio Penales, MD is a Shreveport, Louisiana based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine. Lea Bonifacio Penales is also known as
Lea A Bonifacio.
Current practice location of Lea Bonifacio Penales is
2520 Bert Kouns Loop, Suite 215, Shreveport, Louisiana - 71118-3130. She can be contacted on phone at
318-212-5970 and fax number 318-212-5975.
Lea Bonifacio Penales is a sole proprietor of her business.
NPI number (Unique professional ID) for Lea Bonifacio Penales is
1003809211 which was assigned by NPPES on 24 Aug, 2005 and it was last updated on 07 Dec, 2015.
Lea Bonifacio Penales license number is
203321 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Louisiana.
Lea Bonifacio Penales is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Lea Bonifacio Penales basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Lea Bonifacio Penales |
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| Other Name : | Lea A Bonifacio |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Lea Bonifacio Penales address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2520 Bert Kouns Loop, Suite 215
Shreveport, LA, 71118-3130
United States |
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| Phone Number : | 318-212-5970 |
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| Fax Number : | 318-212-5975 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003809211 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Aug, 2005 |
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| Last Updated On : | 07 Dec, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lea Bonifacio Penales are as mentioned. Primary taxonomy code for Lea Bonifacio Penales, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 4301084897 | MI |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | MA73968 | NJ |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 40150 | CT |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 203321 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Lea Bonifacio Penales such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1816680 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1202 Louisiana Ave
Shreveport, LA, 71101-3910
United States |
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| Phone Number : | 318-212-8946 |
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| Fax Number : | 318-212-4153 |
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Business Location:
Patients can refer following map for directions to
Lea Bonifacio Penales practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.