Whalio Doctors

NPI 1003809211

Lea Bonifacio Penales, MD

Practitioner Neonatal-Perinatal Medicine Physician Shreveport, LA

Practice location

Address
2520 Bert Kouns Loop Suite 215, Shreveport, LA 71118-3130
Phone
(318) 212-5970
Fax
(318) 212-5975
Mailing address
1202 Louisiana Ave, Shreveport, LA 71101-3910

Registered specialties (4)

Neonatal-Perinatal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2080N0001X Licence 203321 (LA)
Neonatal-Perinatal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2080N0001X Licence 4301084897 (MI)
Neonatal-Perinatal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2080N0001X Licence MA73968 (NJ)
Neonatal-Perinatal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2080N0001X Licence 40150 (CT)

Registry record

NPI
1003809211
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Aug 2005
Record last updated
7 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.