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

Dr. Justin Clark, DO

Individual provider Surgery Physician · NPI 1962480459

Dr. Justin Clark, DO is a Surgery Physician in Lewiston, Maine. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

99 Campus Ave Ste 303
Lewiston, ME 04240-6045
Phone: (207) 782-5424
Fax: (207) 782-1136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 215216 (MA)

Record details

NPI number1962480459
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 4, 2006
Last updated in NPPESFebruary 15, 2012
Mailing addressPo Box 1638, Albany, NY 12201-1638

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