WALLER LISLE DALTON MD NPI 1407872559

NPI Information

NPI: 1407872559
Provider Name: WALLER LISLE DALTON, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
800 ROSE STREET
LEXINGTON, KY
ZIP 40536
Phone: (859) 323-5345
Get Directions

Waller Lisle Dalton, MD is a gynecology obstetrics gynecology in Lexington, KY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Waller Lisle Dalton, MD NPI is 1407872559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 ROSE STREET
LEXINGTON, KY
ZIP 40536-001
Phone: (859) 323-5345

The enumeration date for this NPI number is 7/14/2006 and was last updated on 3/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VX0000X	Obstetrics & Gynecology	Obstetrics	18542	KENTUCKY	No
2	207VG0400X	Obstetrics & Gynecology	Gynecology	18542	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	64185424	MEDICAID	KENTUCKY
2	0508542	MEDICARE ID-TYPE UNSPECIFIED
3	C78378	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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