MEDICARE: LUNERA CARE LLC

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	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1073469151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUNERA CARE LLC

Provider Business Mailing Address
First Line	:	21212 NORTHERN BLVD FL 3
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11361-3388
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21212 NORTHERN BLVD FL 3
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11361-3388
Country	:	US
Telephone Number	:	917-847-0810
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VIKRAM KAUL
Credential	:
Telephone Number	:	917-847-0810

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “LUNERA CARE LLC ” Practice Location

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