Provider Demographics
NPI:1851181374
Name:LOTUS CLINICAL CONSULTING
Entity type:Organization
Organization Name:LOTUS CLINICAL CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:FAM
Authorized Official - Last Name:FARAGALLA
Authorized Official - Suffix:
Authorized Official - Credentials:MSHS CLINICAL RESEAR
Authorized Official - Phone:732-672-5038
Mailing Address - Street 1:205 SIDNEY RD
Mailing Address - Street 2:
Mailing Address - City:PITTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08867-4146
Mailing Address - Country:US
Mailing Address - Phone:732-672-5038
Mailing Address - Fax:
Practice Address - Street 1:205 SIDNEY RD
Practice Address - Street 2:
Practice Address - City:PITTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08867-4146
Practice Address - Country:US
Practice Address - Phone:732-672-5038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch