Individual
DR. CASSANDRA LANE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FACS
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2014-00568
NC
208600000X
Surgery Physician
Primary
DR-0058564
CO
208600000X
Surgery Physician
N5610
TX
2086S0102X
Surgical Critical Care Physician
2014-00568
NC
2086S0102X
Surgical Critical Care Physician
A123975
CA
2086S0102X
Surgical Critical Care Physician
DR-0058564
CO
2086S0127X
Trauma Surgery Physician
2014-00568
NC
2086S0127X
Trauma Surgery Physician
A123975
CA
2086S0127X
Trauma Surgery Physician
DR-0058564
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609037399
—
NC
01
—
18522
BCBS NC
NC
Enumeration date
06/24/2008
Last updated
01/22/2026
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