Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Waller Lisle Dalton, MD

Individual provider Gynecology Physician · NPI 1407872559

Waller Lisle Dalton, MD is a Gynecology Physician in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

800 Rose St
Lexington, KY 40536-0001
Phone: (859) 323-5345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 18542 (KY)
Obstetrics Physician Taxonomy 207VX0000X · Licence 18542 (KY)

Record details

NPI number1407872559
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESMarch 19, 2012

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