Lawrence P Forman in Shiprock - Dietitian, Registered
Lawrence P Forman - NPI 1174553515
Lawrence P Forman is a Dietitian, Registered in Shiprock, New Mexico. Lawrence P Forman practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Lawrence P Forman is 1174553515. The last update date is 2008-08-14.
Lawrence P Forman's current location address is Po Box 160, Shiprock, New Mexico. You can contact this provider via phone number 5053686401 and fax number 5053686431. The mailing address for Lawrence P Forman is Po Box 160, Shiprock, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence P Forman |
|---|---|
| Address | Po Box 160, Shiprock, New Mexico |
| Phone Number | 5053686401 |
| Fax Number | 5053686431 |
| Sole Proprietor | N |
| Credentials | R.D. |
NPI Number Detail
| NPI Number | 1174553515 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2008-08-14 |
Provider Mailing Address Detail
| Address | Po Box 160 |
|---|---|
| City | Shiprock |
| State | New Mexico (NM) |
| Post Code | 874200160 |
| Phone Number | 5053686401 |
| Fax Number | 5053686431 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 471 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G2352 | NM | -- | |
| 230062 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lawrence P Forman by the Centers for Medicare & Medicaid Services?
The Lawrence P Forman has been assigned the NPI (National Provider Identifier) 1174553515 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Lawrence P Forman is geographically located?
The Lawrence P Forman is physically situated at the following location: Po Box 160, Shiprock, NM, 874200160.
What is Lawrence P Forman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lawrence P Forman's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174553515 to Lawrence P Forman?
The Centers for Medicare & Medicaid Services assigned the 1174553515 to Lawrence P Forman on 2006-07-03.
When was the Lawrence P Forman's information last updated?
The Lawrence P Forman's information was last updated on 2008-08-14.