WALLER LISLE DALTON MD
NPI 1407872559
Obstetrics & Gynecology - Gynecology in Lexington, KY

Active since July 14, 2006
800 ROSE STREET, LEXINGTON, KY 40536(859) 323-5345 Get Directions Write a Review

NPPES record last updated: March 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waller Lisle Dalton Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLER LISLE DALTON MD (NPI 1407872559) is an individual gynecology provider in Lexington, Kentucky, licensed in Kentucky (18542) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1407872559
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameWALLER LISLE DALTONCredential: MD
Location Address800 ROSE STREETLexington, KY 40536-0001
Mailing Address138 Leader AveLexington, KY 40508-3215 · (859) 257-7910 · Fax (859) 257-7899
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateMarch 19, 2012
NPI 1407872559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in KY · 18542
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 18542 (KY)
800 ROSE STREET, Lexington, KY 40536

Other Identifiers 3

Medicaid64185424KY
Medicare ID-Type Unspecified0508542
Medicare UPINC78378

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
800 ROSE STREET
LEXINGTON, KY 40536
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE STREET
LEXINGTON, KY 40536
Nurse Anesthetist, Certified Registered
800 ROSE STREET
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
800 ROSE STREET, ANESTHESIOLOGY N202
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
800 ROSE STREET, MN 275
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
800 ROSE STREET, ANESTHESIOLOGY N202
LEXINGTON, KY 40536
Radiology (Neuroradiology)
800 ROSE STREET, ROOM HX-319A
LEXINGTON, KY 40536
Hospitalist
800 ROSE STREET
LEXINGTON, KY 40536

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waller Dalton's NPI number?

The NPI number for Waller Dalton is 1407872559. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Waller Dalton located?

Waller Dalton practices at 800 Rose Street, Lexington, KY 40536. The listed phone number is (859) 323-5345.

What is Waller Dalton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Waller Dalton was last updated on March 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.