| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1053665091 | LAKESIDE CLINIC P.C. | PO BOX 649 | LAKESIDE | MT | 599220649 | |||
| 1699872010 | SUZANNE C GULLOTTA | PO BOX 649 | LAKESIDE | MT | 599220649 | |||
| 1962401372 | GULLOTTA | SUZANNE | C | PO BOX 649 | LAKESIDE | MT | 599220649 |