Healthcare Provider Details

I. General information

NPI: 1750031043
Provider Name (Legal Business Name): SEHAR LALJEE BRUCE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SEHAR IQBAL LALJEE

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 11/04/2026
Certification Date: 11/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 COLCHESTER AVE
BURLINGTON VT
05401-1473
US

IV. Provider business mailing address

52 TIMBER LN
SOUTH BURLINGTON VT
05403-7204
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-2345
  • Fax:
Mailing address:
  • Phone: 802-658-2320
  • Fax: 802-863-6933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number042.0018696
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: