Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jean Rene Lorial, PA, FSA, MD

Individual provider Surgical Assistant · NPI 1427749639

Dr. Jean Rene Lorial, PA, FSA, MD is a Surgical Assistant in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona, Florida, Puerto Rico and Wisconsin.

Licensed in
AZ, FL, PR, WI
In the registry since
2023
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5847 S 16th St
Phoenix, AZ 85040-3512
Phone: (602) 609-4107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10338 (AZ)
Surgical Assistant Taxonomy 246ZC0007X · Licence 21-263 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 001660 (PR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PACN21 (FL)

Record details

NPI number1427749639
Entity typeIndividual (Type 1)
GenderMale
Credentials PA , FSA , MD
Sole proprietorYes
NPI enumeratedMay 17, 2023
Last updated in NPPESMay 31, 2025
Certification dateMay 31, 2025

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