MEDICARE: THUY-LIEU THI VO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZH0000X	Hematology (Pathology) Physician	R3L17	MO
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	R3L17	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	699872	OTHER	TN	TENNESSEE LICENSE
2	0431158	OTHER	KS	KANSAS LICENSE
3	36601	OTHER	IA	IOWA LICENSE
4	E1680	OTHER	AR	ARKANSAS
5	R3L17	OTHER	MO	MISSOURI LICENSE
6	24810	OTHER	OK	OKLAHOMA LICENSE
7	40345	OTHER	KY	KENTUCKY LICENSE
8	5786	OTHER	SD	SOUTH DAKOTA LICENSE
9	12350	OTHER	MO	MISSOURI BNDD
10	01049398A	OTHER	IN	INDIANNA LICENSE
11	23173	OTHER	NE	NEBRASKA

General Provider Information

NPI Number	:	1437203767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THUY-LIEU THI VO M.D.

Provider Business Mailing Address
First Line	:	330 S SPOEDE RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8436
Country	:	US
Telephone Number	:	314-569-1885
Fax Number	:	314-872-7155

Provider Business Practice Location Address
First Line	:	2040 CONCOURSE DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-4119
Country	:	US
Telephone Number	:	314-872-3656
Fax Number	:	314-872-7155

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	09/11/2025

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