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NPI Code Detail

MEDICARE: LORIE BISHOP CANADA

MEDICARE: LORIE BISHOP CANADA
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
1163W00000XRegistered Nurse0001179470VA

General Provider Information

NPI Number : 1669314225
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORIE BISHOP CANADA
Provider Business Mailing Address
First Line : 1970 ROANOKE BLVD BLDG 8
Second Line :
City : SALEM
State : VA
Zip : 24153-6404
Country : US
Telephone Number : 540-982-2463
Fax Number :
Provider Business Practice Location Address
First Line : 1970 ROANOKE BLVD BLDG 8
Second Line :
City : SALEM
State : VA
Zip : 24153-6404
Country : US
Telephone Number : 540-982-2463
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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1942142682 — MARY H MATTOX LPN
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Directions to “ LORIE BISHOP CANADA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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