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

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: July 26, 2026.

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
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

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.

Internal Medicine
US HIGHWAY 491 NORTH, NORTHERN NAVAJO MEDICAL CENTER
SHIPROCK, NM 87420
Surgery
US HIGHWAY 491 NORTH
SHIPROCK, NM 87420
General Acute Care Hospital
US HIGHWAY 491 NORTH
SHIPROCK, NM 87420
Optometrist
US HIGHWAY 491 NORTH
SHIPROCK, NM 87420
Clinic/Center (Dental)
US HIGHWAY 491 NORTH
SHIPROCK, NM 87420
Pharmacist
US HIGHWAY 491 NORTH
SHIPROCK, NM 87420
Counselor (Addiction (Substance Use Disorder))
US HIGHWAY 491 NORTH
SHIPROCK, NM 87420
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
US HIGHWAY 491 NORTH
SHIPROCK, NM 87420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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..

Where is Lawrence Forman located?

Lawrence Forman practices at Us Highway 491 North, Shiprock, NM 87420. The listed phone number is (505) 368-6204.

What is Lawrence Forman's specialty?

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

When was this NPI record last updated?

The NPPES record for Lawrence Forman was last updated on August 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.