Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Lance Malo Fujiwara, MED, ATC

Individual provider Athletic Trainer · NPI 1417216458

Mr. Lance Malo Fujiwara, MED, ATC is an Athletic Trainer in Lexington, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2012
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

307 Letcher Ave
Lexington, VA 24450-2109
Phone: (540) 570-0270
Fax: (540) 464-7280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0126000244 (VA)

Record details

NPI number1417216458
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , ATC
Sole proprietorYes
NPI enumeratedMay 11, 2012
Last updated in NPPESMay 11, 2012

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