MEDICARE: LUBNA HAMDAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	2080P0207X	Pediatric Hematology & Oncology Physician	61599	KY

General Provider Information

NPI Number	:	1962039206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUBNA HAMDAN

Provider Business Mailing Address
First Line	:	3333 BURNET AVE # MLC5018
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-4315
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 BURNET AVE # MLC5018
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-4315
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2020
Last Update Date	:	03/03/2026

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Directions to “ LUBNA HAMDAN ” Practice Location

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