Healthcare Provider Details

I. General information

NPI: 1366419442
Provider Name (Legal Business Name): LYDIA W NORTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LYDIA WAGUESPACK MD

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 S. CAPITAL OF TEXAS HWY BUILDING A STE. 230
AUSTIN TX
78746
US

IV. Provider business mailing address

1301 S. CAPITAL OF TEXAS HWY BUILDING A STE. 230
AUSTIN TX
78746
US

V. Phone/Fax

Practice location:
  • Phone: 512-328-7666
  • Fax: 512-276-2939
Mailing address:
  • Phone: 512-328-7666
  • Fax: 512-276-2939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberM3672
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: