Organization
IHA HEALTH SERVICES CORPORATION
Active
Other names
IHA South Lyon Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA A ELLIOTT (PRESIDENT/COO)
(734) 327-0872
Entity
Organization
Contact information
Practice address
23200 PONTIAC TRL STE 100, SOUTH LYON, MI 48178-1983
(248) 446-2935
(248) 446-2936
Mailing address
PO BOX 446, ANN ARBOR, MI 48106-0446
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/13/2018
Last updated
03/23/2026
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