Provider Demographics
NPI:1528411410
Name:AU, KAROLYN HEI LUN (MD)
Entity Type:Individual
Prefix:DR
First Name:KAROLYN
Middle Name:HEI LUN
Last Name:AU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1095 NW 14TH TERRACE D4-6
Mailing Address - Street 2:DEPARTMENT OF NEUROLOGICAL SURGERY
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:305-243-3180
Practice Address - Street 1:1611 NW 12 AVENUE
Practice Address - Street 2:DEPARTMENT OF NEUROLOGICAL SURGERY
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-243-6751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2017-04-19
Deactivation Date:2017-02-27
Deactivation Code:
Reactivation Date:2017-04-19
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLTRN#23178390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program