MR. LAWRENCE P FORMAN III R.D.
NPI 1174553515
Dietitian, Registered in Shiprock, NM

Q: What is Lawrence Forman's NPI number?

The NPI number for Lawrence Forman is 1174553515. It was assigned to this individual provider in the NPPES registry on July 3, 2006. The provider is also known as Larry P Forman R.D..

Q: What is Lawrence Forman's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lawrence Forman was last updated on August 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2006

US HIGHWAY 491 NORTH, SHIPROCK, NM 87420(505) 368-6204(505) 368-6265 Get Directions Write a Review

NPPES record last updated: August 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Lawrence P Forman Iii R.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LAWRENCE P FORMAN III R.D. (NPI 1174553515) is an individual dietitian, registered in Shiprock, New Mexico, licensed in New Mexico (471) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1174553515

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameMR. LAWRENCE P FORMAN IIICredential: R.D.

Location AddressUS HIGHWAY 491 NORTHShiprock, NM 87420-0160

Mailing AddressPo Box 160Shiprock, NM 87420-0160 · (505) 368-6401 · Fax (505) 368-6431

Phone(505) 368-6204

Fax(505) 368-6265

Sole ProprietorNo

Enumeration DateJuly 3, 2006

Last NPPES UpdateAugust 14, 2008

✔ NPI 1174553515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NM · 471

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

US HIGHWAY 491 NORTH, Shiprock, NM 87420

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Other Names 1

Other Name (5)Larry P Forman R.d.

Other Identifiers 5

Medicare UPINP93167NM

Medicare ID-Type Unspecified8HBN87NM

Medicaid230062AZ

MedicaidG2352NM

Medicare OSCAR/certification320059

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICK WILLIAM MURPHY M.D.

Internal Medicine

US HIGHWAY 491 NORTH, NORTHERN NAVAJO MEDICAL CENTER
SHIPROCK, NM 87420

San Juan County (505) 368-6001

DR. EVE SOLANGE BRUNEAU D.O.

Surgery