Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLER LISLE DALTON, MD
ActiveWALLER LISLE DALTON, MD is a Gynecology healthcare provider located in LEXINGTON, Kentucky. NPI 1407872559 is currently active in the NPPES registry. Verify at CMS.
Gynecology · LEXINGTON, KY
Registration Details
- NPI Number
- 1407872559
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2006 (20.086467132039 yrs)
- Last Updated
- Mar 19, 2012
- Licenses
-
18542 (KY)18542 (KY)
Practice Information
- Address
-
800 ROSE STREETLEXINGTON, KY, 405360001Browse KY providers · Browse ZIP 40536
- Phone
- 8593235345
- Primary Specialty
-
Gynecology
207VG0400X
- Additional Specialty
- Obstetrics
Other Gynecology Providers in LEXINGTON, KY
| Name | Credential | NPI |
|---|---|---|
| DR. JOANNA L SANTIESTEBAN | MD | 1700870078 |
| MR. GLENN I MOORE | MD | 1396735577 |
| DR. WILLIAM DAVID HAGER | MD | 1932190444 |
| DR. REVA DUFF TACKETT | MD | 1215916044 |
| KATHRYN DILLON | MD | 1952345415 |
| PAUL DUANE DEPRIEST | MD | 1801830328 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.