Healthcare Provider Details

I. General information

NPI: 1164864443
Provider Name (Legal Business Name): XUAN-LAN M GRIFFITH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2013
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 STATE RD STE C
CUYAHOGA FALLS OH
44223-1400
US

IV. Provider business mailing address

1860 STATE RD STE C
CUYAHOGA FALLS OH
44223-1400
US

V. Phone/Fax

Practice location:
  • Phone: 330-940-5770
  • Fax:
Mailing address:
  • Phone: 330-940-5770
  • Fax: 330-940-5771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number35.145464
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: