Basic Information
Provider Information
NPI: 1528411410
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AU
FirstName: KAROLYN
MiddleName: HEI LUN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1095 NW 14TH TERRACE D4-6
Address2: DEPARTMENT OF NEUROLOGICAL SURGERY
City: MIAMI
State: FL
PostalCode: 33136
CountryCode: US
TelephoneNumber:  
FaxNumber: 3052433180
Practice Location
Address1: 1611 NW 12 AVENUE
Address2: DEPARTMENT OF NEUROLOGICAL SURGERY
City: MIAMI
State: FL
PostalCode: 33136
CountryCode: US
TelephoneNumber: 3052436751
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/15/2016
LastUpdateDate: 04/19/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate: 02/27/2017
NPIReactivationDate: 04/19/2017
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
390200000XTRN#23178FLY Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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