Individual provider · Type 1 NPI

Lillian Winifred Dattilo, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1245972256 Active

Practice location

243 Charles St
Boston, MA 02114-3096

Call (617) 573-3654 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X293103 (MA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245972256

Lillian Winifred Dattilo, MD's National Provider Identifier is 1245972256, issued on Apr 11, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jun 28, 2022.