 He was also named a first-team All American three times while at Hopkins.Pietramala also played at the club level for the storied Mount Washington Lacrosse Club in the 1990s, the professional level for the Pittsburgh Bulls in the Major Indoor Lacrosse League, and nationally for the United States Men's National Lacrosse team.He won two world championships in the International Lacrosse Federation World Championship, was named All-World in both 1990 and 1994, and "Best and Fairest Player" (MVP) in 1990.