| Organization Name: | SOUTH LYON HEALTH CENTER, INC. |
| NPI Number: | 1538129549 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TONI INSERRA (CEO) |
| Mailing Address: | 213 S. Whitacre Yerington |
| State: | NV US |
| Postal Code: | 894472561 |
| Phone Number: | 7754632301 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2006 |
| NPI Last Update Date: | 04/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 3380RHC-5 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |