Healthcare Provider Details

I. General information

NPI: 1689254799
Provider Name (Legal Business Name): LILIANA LUNA-NELSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CINCINNATI CHILDRENS HOSPITAL 3333 BURNET AVE, ML 601
CINCINNATI OH
45229
US

IV. Provider business mailing address

CINCINNATI CHILDRENS HOSPITAL 3333 BURNET AVE, ML 601
CINCINNATI OH
45229
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-0800
  • Fax: 513-803-0823
Mailing address:
  • Phone: 513-636-0800
  • Fax: 513-803-0823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35.151070
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: