Gary Leach Lazer, LCSW

NPI 1457220485 · on the registry since 2025

Practice

Address: 510 E Magnolia St Ste 100
Stockton, CA 95202
Phone: (209) 938-0831
Fax: (209) 938-0849
Organisation at this address: Port City Operating Company, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California