Individual
MARK P LEGOLVAN
Active
Individual
MARK P LEGOLVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
2019-02503
NC
207ZH0000X
Hematology (Pathology) Physician
Primary
DO00627
RI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2019-02503
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
DO00627
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019-02503
STATE LICENSE
NC
Enumeration date
04/20/2007
Last updated
10/15/2025
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