Individual provider · Type 1 NPI

Waller Lisle Dalton, MD

Gynecology Physician · Lexington, KY

NPI number 1407872559 Active

Practice location

800 Rose Street
Lexington, KY 40536-0001

Call (859) 323-5345 Map

Mailing address

138 Leader Ave
Lexington, KY 40508-3215

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician Primary 207VG0400X18542 (KY)
Obstetrics Physician 207VX0000X18542 (KY)

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

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About NPI 1407872559

Waller Lisle Dalton, MD's National Provider Identifier is 1407872559, issued on Jul 14, 2006. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Lexington, KY. The record was last updated on Mar 19, 2012.