=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164864443
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | XUAN-LAN M GRIFFITH M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/26/2013
-----------------------------------------------------
Last Update Date | 08/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1860 STATE RD STE C
-----------------------------------------------------
City | CUYAHOGA FALLS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44223-1400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-940-5770
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1860 STATE RD STE C
-----------------------------------------------------
City | CUYAHOGA FALLS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44223-1400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-940-5770
-----------------------------------------------------
Fax | 330-940-5771
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2083X0100X
-----------------------------------------------------
Taxonomy Name | Occupational Medicine Physician
-----------------------------------------------------
License Number | 35.145464
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------