Provider Demographics
NPI:1881854453
Name:ZWI, LIDA (DC)
Entity Type:Individual
Prefix:DR
First Name:LIDA
Middle Name:
Last Name:ZWI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 MALIALANI PL
Mailing Address - Street 2:
Mailing Address - City:LAHAINA
Mailing Address - State:HI
Mailing Address - Zip Code:96761-9125
Mailing Address - Country:US
Mailing Address - Phone:808-395-1500
Mailing Address - Fax:808-669-0800
Practice Address - Street 1:24 MALIALANI PL
Practice Address - Street 2:
Practice Address - City:LAHAINA
Practice Address - State:HI
Practice Address - Zip Code:96761-9125
Practice Address - Country:US
Practice Address - Phone:808-395-1500
Practice Address - Fax:808-669-0800
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI902111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition