Individual
DR. RONALD L WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GALLERIA BLVD STE 900, METAIRIE, LA 70001-7528
(504) 456-9061
(504) 888-6045
Mailing address
1 GALLERIA BLVD STE 900, METAIRIE, LA 70001-7528
(504) 456-9061
(504) 888-6045
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
12352R
LA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
12352R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125705
—
MS
05
—
1545601
—
LA
Enumeration date
07/01/2005
Last updated
10/08/2025
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