Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Lawrence P Forman III, RD

Individual provider Registered Dietitian · NPI 1174553515

Mr. Lawrence P Forman III, RD is a Registered Dietitian in Shiprock, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

US Highway 491 N
Shiprock, NM 87420-0160
Phone: (505) 368-6204
Fax: (505) 368-6265
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 471 (NM)

Record details

NPI number1174553515
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESAugust 14, 2008

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