Provider Demographics
NPI:1972529055
Name:BARU, LYNN KESSLER (MD)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:KESSLER
Last Name:BARU
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 1:12 PINE TREE CIR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2309
Mailing Address - Country:US
Mailing Address - Phone:312-330-5135
Mailing Address - Fax:919-967-6647
Practice Address - Street 1:1998 HENDERSONVILLE RD
Practice Address - Street 2:SUITE 31
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2349
Practice Address - Country:US
Practice Address - Phone:828-684-9588
Practice Address - Fax:828-684-9626
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2016-02150207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-115875OtherSTATE LICENSE
IL036115875Medicaid
NC2016-02150OtherNC LICENSE
NC2016-02150OtherNC LICENSE