Provider Demographics
NPI:1609044270
Name:TRUH, LOIS I (MD)
Entity Type:Individual
Prefix:DR
First Name:LOIS
Middle Name:I
Last Name:TRUH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 DAKOTA AVE S
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:SD
Mailing Address - Zip Code:57350-2726
Mailing Address - Country:US
Mailing Address - Phone:605-352-7070
Mailing Address - Fax:
Practice Address - Street 1:807 DAKOTA AVE S
Practice Address - Street 2:
Practice Address - City:HURON
Practice Address - State:SD
Practice Address - Zip Code:57350-2726
Practice Address - Country:US
Practice Address - Phone:605-352-7070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD3465207Q00000X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD3465OtherSD STATE LICENSE
SD5608102Medicaid
SD0002559OtherWELLMARK
SD3465OtherDAKOTACARE
SD3465OtherSD STATE LICENSE