Basic Information
| Provider Information | |||||||||
| NPI: | 1972529055 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARU | ||||||||
| FirstName: | LYNN | ||||||||
| MiddleName: | KESSLER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12 PINE TREE CIR | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288042309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3123305135 | ||||||||
| FaxNumber: | 9199676647 | ||||||||
| Practice Location | |||||||||
| Address1: | 1998 HENDERSONVILLE RD | ||||||||
| Address2: | SUITE 31 | ||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288032349 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286849588 | ||||||||
| FaxNumber: | 8286849626 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2006 | ||||||||
| LastUpdateDate: | 03/13/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RE0101X | 2016-02150 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
ID Information
| ID | Type | State | Issuer | Description | 036-115875 | 01 | IL | STATE LICENSE | OTHER | 036115875 | 05 | IL | MEDICAID | 2016-02150 | 01 | NC | NC LICENSE | OTHER |