Healthcare Provider Details

I. General information

NPI: 1295476935
Provider Name (Legal Business Name): DINESH LAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 VALLEY HEALTH WAY STE 300
FRONT ROYAL VA
22630-6480
US

IV. Provider business mailing address

800 ROSE ST
LEXINGTON KY
40536-7001
US

V. Phone/Fax

Practice location:
  • Phone: 540-631-3700
  • Fax:
Mailing address:
  • Phone: 859-323-6162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0116037611
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101285157
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: