Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK P LEGOLVAN, D.O.

Active Sole Proprietor

MARK P LEGOLVAN, D.O. is a Hematology (Pathology) healthcare provider located in GREENSBORO, North Carolina. NPI 1619194560 is currently active in the NPPES registry. Verify at CMS.

Hematology (Pathology) · GREENSBORO, NC

Registration Details

NPI Number: 1619194560
Provider Type: Individual
Gender: Male
NPI Issued: Apr 20, 2007 (19.174376477891 yrs)
Last Updated: Oct 15, 2025
Licenses: 2019-02503 (NC)

DO00627 (RI)

2019-02503 (NC)

DO00627 (RI)
Sole Proprietor: Yes

Practice Information

Address: 706 GREEN VALLEY RD STE 104

GREENSBORO, NC, 274087043
Browse NC providers · Browse ZIP 27408
Phone: 3363872500
Fax: 3363872501
Primary Specialty: Hematology (Pathology)
207ZH0000X
Additional Specialty: Anatomic Pathology & Clinical Pathology
Additional Specialty: Anatomic Pathology & Clinical Pathology
Additional Specialty: Hematology (Pathology)

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.