Healthcare Provider Details

I. General information

NPI: 1356076764
Provider Name (Legal Business Name): ANNE-MARIE SABINE LEZEAU RN, PMHNP, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE-MARIE SABINE LEZEAU

II. Dates (important events)

Enumeration Date: 07/19/2022
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 MAPLE ST
NORWALK CT
06850-3815
US

IV. Provider business mailing address

162 KINGS HWY N
WESTPORT CT
06880-2444
US

V. Phone/Fax

Practice location:
  • Phone: 203-852-2265
  • Fax:
Mailing address:
  • Phone: 203-293-2301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number12014336
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: