Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lillian Winifred Dattilo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245972256

Lillian Winifred Dattilo, MD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2022.

Licensed in
MA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

243 Charles St
Boston, MA 02114-3096
Phone: (617) 573-3654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 293103 (MA)

Record details

NPI number1245972256
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2022
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing address243 Charles St, Boston, MA 02114-3096

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