I hold U.S./Italian dual citizenship but only live

Read the AIRE GUIDE > https://www.lifeinitaly.it/documenti/aire12.pdf

pages , 14- driving licence - page 18 Certificates  - 22 Residenza

As an AIRE citizen, you have been assigned an Italian city of residence. You must ask the registry office of this city for an AIRE residence certificate - and an identity card - with the identity card and the residence certificate, you can go to an Italian driving school, possibly located in the same province in which the municipality where you live, and attend the course to obtain the Italian driving license.

Buon Lavoro :)

it is the result of my research, for the customers of my websites - if you are interested, there are also other guide pages, here > https://www.lifeinitaly.it/Inglese/italyresidenceguide.htm