| Doctor Name: | LISA A. LAIN |
| NPI Number: | 1013295690 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 091000195RN |
| Business Practice Address: | 18 Nw Oregon Ave Bend, OR - 977012729 |
| Business Phone Number: | 5413897741 |
| Business Fax Number: | 5412788375 |
| Mailing Address: | Po Box 670, BEND |
| State: | OR |
| Postal Code: | 977090670 |
| Phone Number: | 5413897741 |
| Fax Number: | 5412788375 |
| NPI Enumeration Date: | 07/29/2011 |
| NPI Last Update Date: | 07/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 091000195RN |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |