Provider Demographics
NPI:1437203767
Name:VO, THUY-LIEU THI (MD)
Entity type:Individual
Prefix:
First Name:THUY-LIEU
Middle Name:THI
Last Name:VO
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 1:330 S SPOEDE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8436
Mailing Address - Country:US
Mailing Address - Phone:314-569-1885
Mailing Address - Fax:314-872-7155
Practice Address - Street 1:2040 CONCOURSE DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-4119
Practice Address - Country:US
Practice Address - Phone:314-872-3656
Practice Address - Fax:314-872-7155
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR3L17207ZH0000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Not Answered207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN699872OtherTENNESSEE LICENSE
KS0431158OtherKANSAS LICENSE
IA36601OtherIOWA LICENSE
ARE1680OtherARKANSAS
MOR3L17OtherMISSOURI LICENSE
OK24810OtherOKLAHOMA LICENSE
KY40345OtherKENTUCKY LICENSE
SD5786OtherSOUTH DAKOTA LICENSE
MO12350OtherMISSOURI BNDD
IN01049398AOtherINDIANNA LICENSE
NE23173OtherNEBRASKA
NE23173OtherNEBRASKA
OK24810OtherOKLAHOMA LICENSE