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LEA BONIFACIO PENALES MD 1003809211

Overview
Name: LEA BONIFACIO PENALES MD LEA A BONIFACIO MD Specialty: Neonatal-Perinatal Medicine Physician Type of Practice: Individual provider Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Allopathic & Osteopathic Physicians Classification: Pediatrics Specialization: Neonatal-Perinatal Medicine. Definition of Specialty: 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.
License & NPI
License #(s): 4301084897, MA73968, 40150, 203321, License State(s): MI, NJ, CT, LA,
Addresses
Practice Location: 2520 BERT KOUNS LOOP,SUITE 215,SHREVEPORT,LA,711183130,US Mailing Address: 1202 LOUISIANA AVE,SHREVEPORT,LA,711013910,US
Contact #
Practice location phone #: 3182125970 Practice location fax #: 3182125975 Mailing address Phone #: 3182128946 Mailing Address fax #: 3182124153 Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/24/2005 Last data data was updated: 12/07/2015 Insurances:

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