Penales, Lea Bonifacio
Penales, Lea Bonifacio is an individual health care provider with primary practice located at 2520 Bert Kouns Loop Suite 215, Shreveport LA 71118-3130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Penales, Lea Bonifacio can be contacted via phone (318) 212-5970.Contact Information
Primary practice address
2520 Bert Kouns Loop Suite 215
Shreveport LA 71118-3130
Phone: (318) 212-5970
Fax: (318) 212-5975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 4301084897 | Michigan |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MA73968 | New Jersey |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 40150 | Connecticut |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 203321 | Louisiana |
Profile Details
| NPI number | 1003809211 |
|---|---|
| LBN Legal business name | Penales, Lea Bonifacio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Dec 7th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003809211 | NPPES |
| Louisiana | MEDICAID | 1816680 |
Popular Providers
-
Manchandia, Bharti M
2510 Bert Kouns Industrial Loop , Shreveport LA 71118-3119 -
Grant, Sandra Rue
1501 Kings Highway Department Of Pediatrics/Neonatology, Shreveport LA 71103-4228 -
Pramanik, Arun Kimar
1501 Kings Hwy Department Of Pediatrics, Section Of Neonatology, Shreveport LA 71103-4228 -
Whitton, Gerald Brent
2510 Bert Kouns Industrial Loop Ste 215 , Shreveport LA 71118-3119 -
Walls, Scott A
2510 Bert Kouns Loop Room 215, Shreveport LA 71118-3119 -
Mhanna, Maroun
1541 Kings Hwy , Shreveport LA 71103-4228 -
Tank, Surinder Singh
1453 E Bert Kouns Industrial Loop Department Of Pediatrics, Shreveport LA 71105-6800 -
Elrod, Julia A
1 Saint Mary Pl , Shreveport LA 71101-4343