LEA BONIFACIO PENALES MD NPI 1003809211

NPI Information

NPI: 1003809211
Provider Name: LEA BONIFACIO PENALES, MD
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

Address:
2520 BERT KOUNS LOOP
SUITE 215
SHREVEPORT, LA
ZIP 71118
Phone: (318) 212-5970
Get Directions

Lea Bonifacio Penales, MD is a neonatal-perinatal medicine pediatrics in Shreveport, LA. The provider is a pediatrician who 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. Lea Bonifacio Penales, MD NPI is 1003809211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2520 BERT KOUNS LOOP
SUITE 215
SHREVEPORT, LA
ZIP 71118-130
Phone: (318) 212-5970
Fax: (318) 212-5975

The enumeration date for this NPI number is 8/24/2005 and was last updated on 12/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	4301084897	MICHIGAN	No
2	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	MA73968	NEW JERSEY	No
3	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	40150	CONNECTICUT	No
4	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	203321	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1816680	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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