NPI 1003809211
Lea Bonifacio Penales, MD
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
Neonatal-Perinatal Medicine Physician
Neonatal-Perinatal Medicine Physician
Neonatal-Perinatal Medicine Physician
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.