Like the rest of the Standard Model Lagrangian, this can be split into two parts:
- spacetime symmetry: reaches the derivation of the Dirac equation, but has no interactions
- add the internal symmetry to add interactions, which reaches the full equation
There are several choices of electromagnetic four-potential that lead to the same physics.
E.g. thinking about the electric potential alone, you could set the zero anywhere, and everything would remain be the same.
The Lorentz gauge is just one such choice. It is however a very popular one, because it is also manifestly Lorentz invariant.