Provider Demographics
NPI:1689763385
Name:CLEMENSON, HEATHER LEE (RDCS)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:LEE
Last Name:CLEMENSON
Suffix:
Gender:F
Credentials:RDCS
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:LEE
Other - Last Name:PADDOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDCS
Mailing Address - Street 1:225 SMITH AVE N
Mailing Address - Street 2:SUITE 500
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2534
Mailing Address - Country:US
Mailing Address - Phone:651-726-6900
Mailing Address - Fax:
Practice Address - Street 1:225 SMITH AVE N
Practice Address - Street 2:SUITE 500
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2534
Practice Address - Country:US
Practice Address - Phone:651-726-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography