Individual provider · Type 1 NPI

Lawrence P. Forman Iii, R.D.

Registered Dietitian · Shiprock, NM

NPI number 1174553515 Active

Practice location

US Highway 491 North
Shiprock, NM 87420-0160

Fax (505) 368-6265

Mailing address

PO Box 160
Shiprock, NM 87420-0160

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X471 (NM)

Registered Dietitian: 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…

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About NPI 1174553515

Lawrence P. Forman Iii, R.D.'s National Provider Identifier is 1174553515, issued on Jul 3, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Shiprock, NM. The record was last updated on Aug 14, 2008.