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Search › New Mexico › 133V00000X

Lawrence Forman, R.D

NPI 1174553515 · on the registry since 2006

Practice

Address
Us Highway 491 North
Shiprock, NM 87420
Phone
(505) 368-6204
Fax
(505) 368-6265
Organisation at this address
Dhhs, Phs, Naihs, Shiprock Hospital
Dhhs, Phs, Naihs, Shiprock Hospital
Dhhs, Phs, Naihs, Shiprock Hospital
Trc - Four Corners Dialysis Clinics Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico