Provider Demographics
NPI:1093944530
Name:MCCLAIN, JOHN BRUCE LUNDY (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:BRUCE LUNDY
Last Name:MCCLAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11673 GARNET RD
Mailing Address - Street 2:
Mailing Address - City:LOVETTSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20180-2515
Mailing Address - Country:US
Mailing Address - Phone:540-822-4349
Mailing Address - Fax:
Practice Address - Street 1:11673 GARNET RD
Practice Address - Street 2:
Practice Address - City:LOVETTSVILLE
Practice Address - State:VA
Practice Address - Zip Code:20180-2515
Practice Address - Country:US
Practice Address - Phone:540-822-4349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-06
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101052236207RI0200X
MDD0022022207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease